50D2133425 CLIA NUMBER - EVERGREEN HEALTH URGENT CARE, MILLCREEK

Laboratory Demographics

  • CLIA Code: 50D2133425
  • Facility Name: EVERGREEN HEALTH URGENT CARE, MILLCREEK
  • Facility Address: 4220 132ND ST SE STE 103
    MILL CREEK, WA
    ZIP 98012
  • Facility Phone: 425 899-5150
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRADLEY YOUNGGREN
  • NPI Number: 1053345017
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2133425
LAB Type Physician Office
Facility Name EVERGREEN HEALTH URGENT CARE, MILLCREEK
Street 4220 132ND ST SE STE 103
City MILL CREEK
State WA
ZIP 98012
Phone 425 899-5150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2017
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director BRADLEY YOUNGGREN

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