50D2195618 CLIA NUMBER - PETERS CREEK RETIREMENT COMMUNITY

Laboratory Demographics

  • CLIA Code: 50D2195618
  • Facility Name: PETERS CREEK RETIREMENT COMMUNITY
  • Facility Address: 14431 REDMOND WAY
    REDMOND, WA
    ZIP 98052
  • Facility Phone: 425 869-2273
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JEN PRETTY
  • NPI Number: 1356769293
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2195618
LAB Type Assisted Living Facility
Facility Name PETERS CREEK RETIREMENT COMMUNITY
Street 14431 REDMOND WAY
City REDMOND
State WA
ZIP 98052
Phone 425 869-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2020
Certificate Expiration Date 4/4/2028
Facility Type Assisted Living Facility
Lab Director JEN PRETTY

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