50D0722273 CLIA NUMBER - ASSURED HOME HEALTH

Laboratory Demographics

  • CLIA Code: 50D0722273
  • Facility Name: ASSURED HOME HEALTH
  • Facility Address: 6100 219TH ST SW STE 270
    MOUNTLAKE TERRACE, WA
    ZIP 98043
  • Facility Phone: 206 364-1484
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: TAMARA KOPPELBERGER
  • NPI Number: 1770998528
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 50D0722273
LAB Type Home Health Agency
Facility Name ASSURED HOME HEALTH
Street 6100 219TH ST SW STE 270
City MOUNTLAKE TERRACE
State WA
ZIP 98043
Phone 206 364-1484
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 Home Health Agency
Lab Director TAMARA KOPPELBERGER

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