50D2121774 CLIA NUMBER - LAUREL COVE COMMUNITY

Laboratory Demographics

CLIA Number: 50D2121774

Facility Name: LAUREL COVE COMMUNITY

Facility Address:
17201 15TH AVE NE
SHORELINE, WA
ZIP 98155
Get Directions

Facility Phone Number: 206 364-9336

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1962096545

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	50D2121774
LAB Type	Assisted Living Facility
Facility Name	LAUREL COVE COMMUNITY
Street	17201 15TH AVE NE
City	SHORELINE
State	WA
ZIP	98155
Phone	206 364-9336
CertificateType	4
CertificateEffectiveDate	11/14/2016
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024