50D0633782 CLIA NUMBER - PROVIDENCE REGIONAL MEDICAL CENTER EVERETT

Laboratory Demographics

  • CLIA Code: 50D0633782
  • Facility Name: PROVIDENCE REGIONAL MEDICAL CENTER EVERETT
  • Facility Address: 916 PACIFIC AVE
    EVERETT, WA
    ZIP 98201
  • Facility Phone: 425 258-7701
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. KIRSTINE Y. OH
  • NPI Number: 1881758472
  • Taxonomy: 276400000X - Rehabilitation, Substance Use Disorder Unit

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D0633782
LAB Type Hospital
Facility Name PROVIDENCE REGIONAL MEDICAL CENTER EVERETT
Street 916 PACIFIC AVE
City EVERETT
State WA
ZIP 98201
Phone 425 258-7701
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/1/1992
Certificate Expiration Date 4/4/2028
Facility Type Hospital
Lab Director DR. KIRSTINE Y. OH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025