50D2137784 CLIA NUMBER - EVERGREEN HEALTH URGENT CARE, SAMMAMISH

Laboratory Demographics

CLIA Number: 50D2137784

Facility Name: EVERGREEN HEALTH URGENT CARE, SAMMAMISH

Facility Address:
22850 NE 8TH A ST STE 103
SAMMAMISH, WA
ZIP 98074
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Facility Phone Number: 425 899-1126

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1417058694

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	50D2137784
LAB Type	Physician Office
Facility Name	EVERGREEN HEALTH URGENT CARE, SAMMAMISH
Street	22850 NE 8TH A ST STE 103
City	SAMMAMISH
State	WA
ZIP	98074
Phone	425 899-1126
CertificateType	4
CertificateEffectiveDate	10/3/2017
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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