50D2006592 CLIA NUMBER - PROLIANCE REHABILITATION SPORTS AND SPINE CENTER

Laboratory Demographics

  • CLIA Code: 50D2006592
  • Facility Name: PROLIANCE REHABILITATION SPORTS AND SPINE CENTER
  • Facility Address: 3216 NORTON AVE STE 101
    EVERETT, WA
    ZIP 98201
  • Facility Phone: 425 252-4700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN TAYLOR
  • NPI Number: 1417499575
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 50D2006592
LAB Type Physician Office
Facility Name PROLIANCE REHABILITATION SPORTS AND SPINE CENTER
Street 3216 NORTON AVE STE 101
City EVERETT
State WA
ZIP 98201
Phone 425 252-4700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2010
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director STEVEN TAYLOR

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