50D2176532 CLIA NUMBER - LIVING WELL HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 50D2176532
  • Facility Name: LIVING WELL HEALTH CENTER
  • Facility Address: 3925 159TH AVE NE
    REDMOND, WA
    ZIP 98052
  • Facility Phone: (425) 497-1225
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TEDROS GEBRESELASSIE
  • NPI Number: 1366717373
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2176532
LAB Type Pharmacy
Facility Name LIVING WELL HEALTH CENTER
Street 3925 159TH AVE NE
City REDMOND
State WA
ZIP 98052
Phone 4254971225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2019
Certificate Expiration Date 4/4/2028
Facility Type Pharmacy
Lab Director TEDROS GEBRESELASSIE

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