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50D2242866 CLIA NUMBER - ALPHA SUPPORTED LIVING SERVICES

Laboratory Demographics

CLIA Number: 50D2242866

Facility Name: ALPHA SUPPORTED LIVING SERVICES

Facility Address:
18912 N CREEK PKWY STE 104
BOTHELL, WA
ZIP 98011
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Facility Phone Number: 425 420-1196

Facility Type: Other - SUPPORTED LIVING

Certificate Type: Waiver
NPI Number: 1083031066

Taxonomy: 253Z00000X - In Home Supportive Care
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

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
CertificateType 4
CertificateEffectiveDate 11/12/2021
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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This page was last updated on: 4/23/2024