50D2256377 CLIA NUMBER - BOTHELL WAY LODGE LLC

Laboratory Demographics

  • CLIA Code: 50D2256377
  • Facility Name: BOTHELL WAY LODGE LLC
  • Facility Address: 8912 NE 180TH ST
    BOTHELL, WA
    ZIP 98011
  • Facility Phone: 425 483-8836
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: FELIX FILDAN
  • NPI Number: 1316134901
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 50D2256377
LAB Type Assisted Living Facility
Facility Name BOTHELL WAY LODGE LLC
Street 8912 NE 180TH ST
City BOTHELL
State WA
ZIP 98011
Phone 425 483-8836
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2022
Certificate Expiration Date 4/4/2028
Facility Type Assisted Living Facility
Lab Director FELIX FILDAN

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