50D2108344 CLIA NUMBER - QUEEN ANNE MANOR

Laboratory Demographics

  • CLIA Code: 50D2108344
  • Facility Name: QUEEN ANNE MANOR
  • Facility Address: 100 CROCKETT ST
    SEATTLE, WA
    ZIP 98109
  • Facility Phone: 206 282-5001
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: PAMELA SEMKEN
  • NPI Number: 1790142636
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2108344
LAB Type Assisted Living Facility
Facility Name QUEEN ANNE MANOR
Street 100 CROCKETT ST
City SEATTLE
State WA
ZIP 98109
Phone 206 282-5001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2016
Certificate Expiration Date 4/4/2028
Facility Type Assisted Living Facility
Lab Director PAMELA SEMKEN

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