Cellnetix Labs, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

50D1067441 Issued in WA

Legal business name

CELLNETIX LABS, LLC

Practice address

12501 E Marginal Way S Ste 200
Tukwila, WA 98168-2560

Phone

(206) 576-6138

Fax

(206) 215-6090

NPI assigned

May 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Byron Kaerstner

Title

Cao

Phone

(253) 678-1357

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Cellnetix Labs, LLC

  • Clinical Medical Laboratory
  • Palmer, AK
  • NPI 1538422639

  7012936206

  Same PAC ID

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Cellnetix Labs LLC

  • Clinical Medical Laboratory
  • Everett, WA
  • NPI 1063481570

  O20051116000963

  Same enrollment
• Cellnetix Labs, LLC

  • Clinical Medical Laboratory
  • Olympia, WA
  • NPI 1326525023

  O20051116000963

  Same enrollment
• Cellnetix Labs, LLC

  • Clinical Medical Laboratory
  • Spokane, WA
  • NPI 1477828838

  O20051116000963

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Cellnetix Labs LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Cellnetix Labs LLC

  • Clinical Medical Laboratory
  • Everett, WA
  • NPI 1063481570
  NPD tax ID
• Cellnetix Labs, LLC

  • Clinical Medical Laboratory
  • Olympia, WA
  • NPI 1326525023
  NPD tax ID
• Cellnetix Labs, LLC

  • Clinical Medical Laboratory
  • Spokane, WA
  • NPI 1477828838
  NPD tax ID
• Cellnetix Labs, LLC

  • Clinical Medical Laboratory
  • Tucson, AZ
  • NPI 1407715113
  NPD tax ID
• Cellnetix Labs, LLC

  • Clinical Medical Laboratory
  • Palmer, AK
  • NPI 1538422639
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1407060411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 E MARGINAL WAY S STE 200",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981685163",
            "telephone_number": "844-344-4209",
            "fax_number": "866-721-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 E MARGINAL WAY S STE 200",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981682560",
            "telephone_number": "206-576-6138",
            "fax_number": "206-215-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELLNETIX LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "KAERSTNER",
        "authorized_official_first_name": "BYRON",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "253-678-1357"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WA",
            "license": "50D1067441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA #",
            "identifier": "50D1067441",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7138043",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL TEST SITE",
            "identifier": "MTS-5084",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leo Castillo Jr.
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• Kiana Chambers
• Terrance Chambers Jr.
• Jenny Ann Chan, PHARMD
• Shangyu Vivien Chan

• Clinical Medical Laboratory in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Clinical Medical Laboratory in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.