50D2170245 CLIA NUMBER - THERAPEUTIC HEALTH SERVICES - EVERETT BRANCH

Laboratory Demographics

  • CLIA Code: 50D2170245
  • Facility Name: THERAPEUTIC HEALTH SERVICES - EVERETT BRANCH
  • Facility Address: 9930 EVERGREEN WAY BLDG Z-150
    EVERETT, WA
    ZIP 98204
  • Facility Phone: (425) 347-5121
  • Facility Type: Other - DRUG TREATMENT
  • Facility Type: Waiver
  • Lab Director: PROMISE K. ADDAE
  • NPI Number: 1851480875
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2170245
LAB Type Other - DRUG TREATMENT
Facility Name THERAPEUTIC HEALTH SERVICES - EVERETT BRANCH
Street 9930 EVERGREEN WAY BLDG Z-150
City EVERETT
State WA
ZIP 98204
Phone 4253475121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2019
Certificate Expiration Date 4/4/2028
Facility Type Other - DRUG TREATMENT
Lab Director PROMISE K. ADDAE

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This page was last updated on: 5/18/2026