50D0722654 CLIA NUMBER - COTTESMORE OF LIFE CARE

Laboratory Demographics

  • CLIA Code: 50D0722654
  • Facility Name: COTTESMORE OF LIFE CARE
  • Facility Address: 2909 14TH AVE NW
    GIG HARBOR, WA
    ZIP 98335
  • Facility Phone: 253 851-5433
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TRISTAN LESTER
  • NPI Number: 1992759120
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D0722654
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COTTESMORE OF LIFE CARE
Street 2909 14TH AVE NW
City GIG HARBOR
State WA
ZIP 98335
Phone 253 851-5433
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 Skilled Nursing Facility/Nursing Facility
Lab Director TRISTAN LESTER

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