50D2223355 CLIA NUMBER - ROGERS BEHAVIORAL HEALTH - WASHINGTON

Laboratory Demographics

  • CLIA Code: 50D2223355
  • Facility Name: ROGERS BEHAVIORAL HEALTH - WASHINGTON
  • Facility Address: 1215 114TH AVE SE
    BELLEVUE, WA
    ZIP 98004
  • Facility Phone: 425 956-3900
  • Facility Type: Other - BEHAVIORAL HEALTH
  • Facility Type: Waiver
  • Lab Director: JERRY HALVERSON
  • NPI Number: 1306442942
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 50D2223355
LAB Type Other - BEHAVIORAL HEALTH
Facility Name ROGERS BEHAVIORAL HEALTH - WASHINGTON
Street 1215 114TH AVE SE
City BELLEVUE
State WA
ZIP 98004
Phone 425 956-3900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2021
Certificate Expiration Date 4/4/2028
Facility Type Other - BEHAVIORAL HEALTH
Lab Director JERRY HALVERSON

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