50D2258378 CLIA NUMBER - SUREGUARD LLC VIN# JTEGD20V340019721

Laboratory Demographics

  • CLIA Code: 50D2258378
  • Facility Name: SUREGUARD LLC VIN# JTEGD20V340019721
  • Facility Address: 5391 MAXWELTON RD
    LANGLEY, WA
    ZIP 98260
  • Facility Phone: 425 301-7142
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: JAKE PARRICK
  • NPI Number: 1972242170
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 50D2258378
LAB Type Mobile Laboratory
Facility Name SUREGUARD LLC VIN# JTEGD20V340019721
Street 5391 MAXWELTON RD
City LANGLEY
State WA
ZIP 98260
Phone 425 301-7142
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2022
Certificate Expiration Date 4/4/2028
Facility Type Mobile Laboratory
Lab Director JAKE PARRICK

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