50D2201356 CLIA NUMBER - IDA CULVER HOUSE BROADVIEW

Laboratory Demographics

  • CLIA Code: 50D2201356
  • Facility Name: IDA CULVER HOUSE BROADVIEW
  • Facility Address: 12505 GREENWOOD AVE N
    SEATTLE, WA
    ZIP 98133
  • Facility Phone: 206 361-1989
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: YOLANDA ALEXANDER
  • NPI Number: 1831489640
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2201356
LAB Type Assisted Living Facility
Facility Name IDA CULVER HOUSE BROADVIEW
Street 12505 GREENWOOD AVE N
City SEATTLE
State WA
ZIP 98133
Phone 206 361-1989
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2020
Certificate Expiration Date 4/4/2028
Facility Type Assisted Living Facility
Lab Director YOLANDA ALEXANDER

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