50D0904312 CLIA NUMBER - MAXIM HEALTHCARE SERVICES INC

Laboratory Demographics

  • CLIA Code: 50D0904312
  • Facility Name: MAXIM HEALTHCARE SERVICES INC
  • Facility Address: 6100 219TH ST SW STE 500
    MOUNTLAKE TERRACE, WA
    ZIP 98043
  • Facility Phone: 425 245-9940
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SAVANNAH GREY
  • NPI Number: 1477051993
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 50D0904312
LAB Type Home Health Agency
Facility Name MAXIM HEALTHCARE SERVICES INC
Street 6100 219TH ST SW STE 500
City MOUNTLAKE TERRACE
State WA
ZIP 98043
Phone 425 245-9940
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/1995
Certificate Expiration Date 4/4/2028
Facility Type Home Health Agency
Lab Director SAVANNAH GREY

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