50D2254839 CLIA NUMBER - NORTH CREEK RETIREMENT AND ASSISTED LIVING COMMUNITY

Laboratory Demographics

CLIA Number: 50D2254839

Facility Name: NORTH CREEK RETIREMENT AND ASSISTED LIVING COMMUNITY

Facility Address:
1907 201ST PL SE
BOTHELL, WA
ZIP 98012
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Facility Phone Number: 425 483-8927

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1831373554

Taxonomy: 305S00000X - Point of Service
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

CLIA Record

Field Name	Field Value
CLIA Number	50D2254839
LAB Type	Assisted Living Facility
Facility Name	NORTH CREEK RETIREMENT AND ASSISTED LIVING COMMUNITY
Street	1907 201ST PL SE
City	BOTHELL
State	WA
ZIP	98012
Phone	425 483-8927
CertificateType	4
CertificateEffectiveDate	3/8/2022
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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