50D2171098 CLIA NUMBER - GREENLAKE SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 50D2171098
  • Facility Name: GREENLAKE SENIOR LIVING
  • Facility Address: 1020 CATALA AVE SE
    OCEAN SHORES, WA
    ZIP 98569
  • Facility Phone: 360 289-9663
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LISA MCDOWELL
  • NPI Number: 1568598118
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2171098
LAB Type Assisted Living Facility
Facility Name GREENLAKE SENIOR LIVING
Street 1020 CATALA AVE SE
City OCEAN SHORES
State WA
ZIP 98569
Phone 360 289-9663
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2019
Certificate Expiration Date 4/4/2028
Facility Type Assisted Living Facility
Lab Director LISA MCDOWELL

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