50D0633850 CLIA NUMBER - SUNRISE FAMILY MEDICAL CARE

Laboratory Demographics

  • CLIA Code: 50D0633850
  • Facility Name: SUNRISE FAMILY MEDICAL CARE
  • Facility Address: 9505 19TH AVE SE STE 101
    EVERETT, WA
    ZIP 98208
  • Facility Phone: 425 225-6721
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MADHURINA ROY
  • NPI Number: 1972727402
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D0633850
LAB Type Physician Office
Facility Name SUNRISE FAMILY MEDICAL CARE
Street 9505 19TH AVE SE STE 101
City EVERETT
State WA
ZIP 98208
Phone 425 225-6721
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/1992
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director MADHURINA ROY

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