50D1105757 CLIA NUMBER - UNITED BACKCARE PS

Laboratory Demographics

  • CLIA Code: 50D1105757
  • Facility Name: UNITED BACKCARE PS
  • Facility Address: 9617 7TH AVE SE
    EVERETT, WA
    ZIP 98208
  • Facility Phone: 425 513-8509
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: NIRIKSHA MALLADI
  • NPI Number: 1568579944
  • Taxonomy: 261QP3300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D1105757
LAB Type Comp. Outpatient Rehab Facility
Facility Name UNITED BACKCARE PS
Street 9617 7TH AVE SE
City EVERETT
State WA
ZIP 98208
Phone 425 513-8509
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2009
Certificate Expiration Date 4/4/2028
Facility Type Comp. Outpatient Rehab Facility
Lab Director NIRIKSHA MALLADI

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This page was last updated on: 3/20/2025