50D2057114 CLIA NUMBER - EVERSIDE HEALTH

Laboratory Demographics

  • CLIA Code: 50D2057114
  • Facility Name: EVERSIDE HEALTH
  • Facility Address: 32275 32ND AVE S
    FEDERAL WAY, WA
    ZIP 98001
  • Facility Phone: 253 292-9970
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KELLY DEMEYERE COURSEY
  • NPI Number: 1740652940
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2057114
LAB Type Physician Office
Facility Name EVERSIDE HEALTH
Street 32275 32ND AVE S
City FEDERAL WAY
State WA
ZIP 98001
Phone 253 292-9970
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

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