50D2256205 CLIA NUMBER - EVERGREEN COURT RETIREMENT

Laboratory Demographics

  • CLIA Code: 50D2256205
  • Facility Name: EVERGREEN COURT RETIREMENT
  • Facility Address: 900 124TH AVE NE
    BELLEVUE, WA
    ZIP 98005
  • Facility Phone: 425 455-4333
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MARIE MITCHELL-CRANE
  • NPI Number: 1912127192
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2256205
LAB Type Assisted Living Facility
Facility Name EVERGREEN COURT RETIREMENT
Street 900 124TH AVE NE
City BELLEVUE
State WA
ZIP 98005
Phone 425 455-4333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2022
Certificate Expiration Date 4/4/2028
Facility Type Assisted Living Facility
Lab Director MARIE MITCHELL-CRANE

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