50D2130614 CLIA NUMBER - THE EVERGREEN AT NORTHPOINT

Laboratory Demographics

  • CLIA Code: 50D2130614
  • Facility Name: THE EVERGREEN AT NORTHPOINT
  • Facility Address: 2111 N NORTHGATE WAY STE 100
    SEATTLE, WA
    ZIP 98133
  • Facility Phone: (425) 502-9945
  • Facility Type: Other - DRUG TREATMENT
  • Facility Type: Waiver
  • Lab Director: BRIAN SMART
  • NPI Number: 1255312690
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 50D2130614
LAB Type Other - DRUG TREATMENT
Facility Name THE EVERGREEN AT NORTHPOINT
Street 2111 N NORTHGATE WAY STE 100
City SEATTLE
State WA
ZIP 98133
Phone 4255029945
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2017
Certificate Expiration Date 4/4/2028
Facility Type Other - DRUG TREATMENT
Lab Director BRIAN SMART

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This page was last updated on: 5/18/2026