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Attachment B: Washington State Department of Health Lab Accreditation Certification <br />.... <br />Washington State Department of Health <br />This organization <br />Department of Health Public Health Laboratories <br />is authorized by RCW 70.42 to have a <br />Medical Test Site Accredited License <br />Operated by Washington Stata Dapartment of Health CLiA # 5000661453 <br />located at 1610 NE 150lh St <br />Shoreline, WA 98155-7224 <br />Status <br />ACTtVE <br />MTS (Category J <br />Credential Number <br />MTSA.FS.00001327 <br />Effective Dale <br />07101/2017 <br />Expiration Date <br />06130/2019 <br />THIS LICENSE IS NON-TRANSFERABLE <br />;::;;:;: COLLEGE of AMERICAN <br />::.:;:-PATHOLOGISTS .... <br />The College of American Pathologists <br />certifies that the laboratory named below <br />Washington State Department of Health <br />Public Health laboratories <br />Shoreline, Washington <br />William A. Glover, II, PhD,D(ABMM),MT(ASCP) <br />CAP Number: 2462601 <br />AU-ID: 1188564 <br />CllA Number : 5000661453 <br />has met all applicable standards for accreditation and is hereby accredited by the <br />College of American Pathologists' laboratory Accreditation Program. Relnspection <br />should occur prior to October 29, 2018 to maintain accredHation . <br />AccreditatiDn does not automatically survive a chang" In director. ownership. <br />or locaUDn and assumes that aU interim requirements are mel. <br />Chair. Comml.sion on laboralory Accredilalion <br />~~"",1tA" <br />Presfdent Coflege of American Pathologists <br />35