50D0695155 CLIA NUMBER - EVERGREEN SUPPORTED LIVING

Laboratory Demographics

  • CLIA Code: 50D0695155
  • Facility Name: EVERGREEN SUPPORTED LIVING
  • Facility Address: 305 FLORA ST
    BELLINGHAM, WA
    ZIP 98225
  • Facility Phone: 360 671-5898
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: ZAY MCSHANE
  • NPI Number: 1578874111
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 50D0695155
LAB Type Other
Facility Name EVERGREEN SUPPORTED LIVING
Street 305 FLORA ST
City BELLINGHAM
State WA
ZIP 98225
Phone 360 671-5898
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/1992
Certificate Expiration Date 4/4/2028
Facility Type Other
Lab Director ZAY MCSHANE

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