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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 state Department of Health CUA # 5000661453 <br />Located at 1610 NE 1501h St <br />Shoreline, WA 98155-7224 <br />Secretary <br />MTS C Category J <br />Status <br />ACTIVE <br />Credenlial Number <br />MTSA.FS.00001327 <br />Effective Dale <br />07/01/2017 <br />THIS LICENSE IS NON-TRANSFERABLE <br />EJCplralion Date <br />0&13012019 <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-IO: 1188564 <br />CLIA Number: 5000661453 <br />has met all appUcabl a,stpndards for ilQCredlla !loTI l;l!ld is hereby accradJletl by the <br />College of American Pathologls\S ' Labo1111oJY A=dltatlon PrQ1,1ram , Reln speclion <br />should occur prior to October 29, 2018 to maintain accreditation. <br />Accreditation does not automatically survive e change In dlreclor, ownership. <br />or location and assumes that an interim requirements are met. <br />Ohair, GommlHlon on ...,bQ ,elory Accredi1aUon <br />35