50D0932777 CLIA NUMBER - COVENANT SHORES HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 50D0932777
  • Facility Name: COVENANT SHORES HEALTH CENTER
  • Facility Address: 9107 FORTUNA DRIVE
    MERCER ISLAND, WA
    ZIP 98040
  • Facility Phone: 206 268-3000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: FLOYD SEKERAMAYI
  • NPI Number: 1023190824
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D0932777
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COVENANT SHORES HEALTH CENTER
Street 9107 FORTUNA DRIVE
City MERCER ISLAND
State WA
ZIP 98040
Phone 206 268-3000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/1997
Certificate Expiration Date 4/4/2028
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director FLOYD SEKERAMAYI

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