50D2134459 CLIA NUMBER - MUKILTEO MEMORY CARE

Laboratory Demographics

  • CLIA Code: 50D2134459
  • Facility Name: MUKILTEO MEMORY CARE
  • Facility Address: 4686 POINTES DR
    MUKILTEO, WA
    ZIP 98275
  • Facility Phone: 425 267-0808
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: STEPHANIE MIZZELL
  • NPI Number: 1881109247
  • Taxonomy: 175F00000X - Naturopath

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CLIA Record

Field Name Field Value
CLIA Number 50D2134459
LAB Type Assisted Living Facility
Facility Name MUKILTEO MEMORY CARE
Street 4686 POINTES DR
City MUKILTEO
State WA
ZIP 98275
Phone 425 267-0808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2017
Certificate Expiration Date 4/4/2028
Facility Type Assisted Living Facility
Lab Director STEPHANIE MIZZELL

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This page was last updated on: 3/20/2025