50D2096731 CLIA NUMBER - BROOKDALE AT EVERETT

Laboratory Demographics

  • CLIA Code: 50D2096731
  • Facility Name: BROOKDALE AT EVERETT
  • Facility Address: 11333 3RD PL W
    EVERETT, WA
    ZIP 98204
  • Facility Phone: 425 347-0372
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DAVID SIMBOLON
  • NPI Number: 1720113608
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2096731
LAB Type Assisted Living Facility
Facility Name BROOKDALE AT EVERETT
Street 11333 3RD PL W
City EVERETT
State WA
ZIP 98204
Phone 425 347-0372
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2015
Certificate Expiration Date 4/4/2028
Facility Type Assisted Living Facility
Lab Director DAVID SIMBOLON

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