50D2169168 CLIA NUMBER - BROOKDALE MONTCLAIR POULSBO

Laboratory Demographics

  • CLIA Code: 50D2169168
  • Facility Name: BROOKDALE MONTCLAIR POULSBO
  • Facility Address: 1250 NE LINCOLN RD
    POULSBO, WA
    ZIP 98370
  • Facility Phone: 360 697-2223
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MONICA GLIVA
  • NPI Number: 1831403377
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2169168
LAB Type Assisted Living Facility
Facility Name BROOKDALE MONTCLAIR POULSBO
Street 1250 NE LINCOLN RD
City POULSBO
State WA
ZIP 98370
Phone 360 697-2223
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2019
Certificate Expiration Date 4/4/2028
Facility Type Assisted Living Facility
Lab Director MONICA GLIVA

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