50D2100642 CLIA NUMBER - PINE RIDGE POST ACUTE

Laboratory Demographics

  • CLIA Code: 50D2100642
  • Facility Name: PINE RIDGE POST ACUTE
  • Facility Address: 21008 76TH AVE W
    EDMONDS, WA
    ZIP 98026
  • Facility Phone: 425 778-0107
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NEETA BHOGAL
  • NPI Number: 1316125321
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2100642
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PINE RIDGE POST ACUTE
Street 21008 76TH AVE W
City EDMONDS
State WA
ZIP 98026
Phone 425 778-0107
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2015
Certificate Expiration Date 4/4/2028
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director NEETA BHOGAL

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