50D2246315 CLIA NUMBER - HOME INSTEAD SENIOR CARE

Laboratory Demographics

  • CLIA Code: 50D2246315
  • Facility Name: HOME INSTEAD SENIOR CARE
  • Facility Address: 1501 PARKER WAY STE 106
    MOUNT VERNON, WA
    ZIP 98273
  • Facility Phone: 360 982-2461
  • Facility Type: Other - IN HOME CARE
  • Facility Type: Waiver
  • Lab Director: SHANNON NICHOLSON
  • NPI Number: 1124426861
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 50D2246315
LAB Type Other - IN HOME CARE
Facility Name HOME INSTEAD SENIOR CARE
Street 1501 PARKER WAY STE 106
City MOUNT VERNON
State WA
ZIP 98273
Phone 360 982-2461
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2021
Certificate Expiration Date 4/4/2028
Facility Type Other - IN HOME CARE
Lab Director SHANNON NICHOLSON

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