50D0882472 CLIA NUMBER - PROVIDENCE AT HOME WITH COMPASSUS SNOHOMISH COUNTY

Laboratory Demographics

  • CLIA Code: 50D0882472
  • Facility Name: PROVIDENCE AT HOME WITH COMPASSUS SNOHOMISH COUNTY
  • Facility Address: 1615 75TH ST SW STE 210
    EVERETT, WA
    ZIP 98203
  • Facility Phone: 425 261-4800
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SARAH JACKSON
  • NPI Number: 1174856892
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D0882472
LAB Type Home Health Agency
Facility Name PROVIDENCE AT HOME WITH COMPASSUS SNOHOMISH COUNTY
Street 1615 75TH ST SW STE 210
City EVERETT
State WA
ZIP 98203
Phone 425 261-4800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/1994
Certificate Expiration Date 4/4/2028
Facility Type Home Health Agency
Lab Director SARAH JACKSON

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