50D2201117 CLIA NUMBER - UNIVERSITY HOUSE AT ISSAQUAH

Laboratory Demographics

  • CLIA Code: 50D2201117
  • Facility Name: UNIVERSITY HOUSE AT ISSAQUAH
  • Facility Address: 22975 BLACK NUGGET RD SE
    ISSAQUAH, WA
    ZIP 98029
  • Facility Phone: 425 557-4200
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SARA PEARCE
  • NPI Number: 1609166420
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2201117
LAB Type Assisted Living Facility
Facility Name UNIVERSITY HOUSE AT ISSAQUAH
Street 22975 BLACK NUGGET RD SE
City ISSAQUAH
State WA
ZIP 98029
Phone 425 557-4200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2020
Certificate Expiration Date 4/4/2028
Facility Type Assisted Living Facility
Lab Director SARA PEARCE

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