50D2162547 CLIA NUMBER - GENTIVA

Laboratory Demographics

  • CLIA Code: 50D2162547
  • Facility Name: GENTIVA
  • Facility Address: 9750 3RD AVE NE STE 375
    SEATTLE, WA
    ZIP 98115
  • Facility Phone: 206 525-1090
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SELECE BEASLEY
  • NPI Number: 1689906125
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 50D2162547
LAB Type Hospice
Facility Name GENTIVA
Street 9750 3RD AVE NE STE 375
City SEATTLE
State WA
ZIP 98115
Phone 206 525-1090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2019
Certificate Expiration Date 4/4/2028
Facility Type Hospice
Lab Director SELECE BEASLEY

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This page was last updated on: 6/4/2025