50D0874451 CLIA NUMBER - AVAMERE REHABILITATION OF ISSAQUAH

Laboratory Demographics

  • CLIA Code: 50D0874451
  • Facility Name: AVAMERE REHABILITATION OF ISSAQUAH
  • Facility Address: 805 FRONT STREET SOUTH
    ISSAQUAH, WA
    ZIP 98027
  • Facility Phone: 425 392-1271
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARCELINA Z. CASTANEDA
  • NPI Number: 1366858417
  • Taxonomy: 152W00000X - Optometrist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D0874451
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AVAMERE REHABILITATION OF ISSAQUAH
Street 805 FRONT STREET SOUTH
City ISSAQUAH
State WA
ZIP 98027
Phone 425 392-1271
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/1993
Certificate Expiration Date 4/4/2028
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MARCELINA Z. CASTANEDA

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: 3/20/2025