50D2242866 CLIA NUMBER - ALPHA SUPPORTED LIVING SERVICES

Laboratory Demographics

  • CLIA Code: 50D2242866
  • Facility Name: ALPHA SUPPORTED LIVING SERVICES
  • Facility Address: 18912 N CREEK PKWY STE 104
    BOTHELL, WA
    ZIP 98011
  • Facility Phone: 425 420-1196
  • Facility Type: Other - SUPPORTED LIVING
  • Facility Type: Waiver
  • Lab Director: SCOTT LIVENGOOD
  • NPI Number: 1083031066
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 50D2242866
LAB Type Other - SUPPORTED LIVING
Facility Name ALPHA SUPPORTED LIVING SERVICES
Street 18912 N CREEK PKWY STE 104
City BOTHELL
State WA
ZIP 98011
Phone 425 420-1196
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2021
Certificate Expiration Date 4/4/2028
Facility Type Other - SUPPORTED LIVING
Lab Director SCOTT LIVENGOOD

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