50D2247664 CLIA NUMBER - EZZIA HEALTHCARE PLLC

Laboratory Demographics

  • CLIA Code: 50D2247664
  • Facility Name: EZZIA HEALTHCARE PLLC
  • Facility Address: 9802 EVERGREEN WAY
    EVERETT, WA
    ZIP 98204
  • Facility Phone: 781 775-9026
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: PHYLIUS MUTHEE
  • NPI Number: 1629735618
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2247664
LAB Type Mobile Laboratory
Facility Name EZZIA HEALTHCARE PLLC
Street 9802 EVERGREEN WAY
City EVERETT
State WA
ZIP 98204
Phone 781 775-9026
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2022
Certificate Expiration Date 4/4/2028
Facility Type Mobile Laboratory
Lab Director PHYLIUS MUTHEE

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This page was last updated on: 6/4/2025