50D2035433 CLIA NUMBER - EVERSIDE HEALTH LLC

Laboratory Demographics

  • CLIA Code: 50D2035433
  • Facility Name: EVERSIDE HEALTH LLC
  • Facility Address: 2115 S 56TH ST STE 310
    TACOMA, WA
    ZIP 98409
  • Facility Phone: 253 272-0269
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KELLY DEMEYERE-COURSEY
  • NPI Number: 1417329871
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D2035433
LAB Type Physician Office
Facility Name EVERSIDE HEALTH LLC
Street 2115 S 56TH ST STE 310
City TACOMA
State WA
ZIP 98409
Phone 253 272-0269
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/25/2019
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director KELLY DEMEYERE-COURSEY

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: 9/29/2025