50D2199345 CLIA NUMBER - SOUTH POINTE ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 50D2199345
  • Facility Name: SOUTH POINTE ASSISTED LIVING
  • Facility Address: 10330 4TH AVE W
    EVERETT, WA
    ZIP 98204
  • Facility Phone: 425 513-5645
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LINDSAY PETRICK
  • NPI Number: 1831832773
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2199345
LAB Type Assisted Living Facility
Facility Name SOUTH POINTE ASSISTED LIVING
Street 10330 4TH AVE W
City EVERETT
State WA
ZIP 98204
Phone 425 513-5645
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2020
Certificate Expiration Date 4/4/2028
Facility Type Assisted Living Facility
Lab Director LINDSAY PETRICK

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This page was last updated on: 3/20/2025