50D2090960 CLIA NUMBER - LAUREL GLEN AT BREMERTON

Laboratory Demographics

  • CLIA Code: 50D2090960
  • Facility Name: LAUREL GLEN AT BREMERTON
  • Facility Address: 2707 CLARE AVE
    BREMERTON, WA
    ZIP 98310
  • Facility Phone: 360 377-1717
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: BOBBIE CRUZ
  • NPI Number: 1437557436
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2090960
LAB Type Assisted Living Facility
Facility Name LAUREL GLEN AT BREMERTON
Street 2707 CLARE AVE
City BREMERTON
State WA
ZIP 98310
Phone 360 377-1717
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2015
Certificate Expiration Date 4/4/2028
Facility Type Assisted Living Facility
Lab Director BOBBIE CRUZ

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