50D2259699 CLIA NUMBER - CANYON PARK RETREAT ADULT FAMILY HOME

Laboratory Demographics

  • CLIA Code: 50D2259699
  • Facility Name: CANYON PARK RETREAT ADULT FAMILY HOME
  • Facility Address: 1410 233RD PL SE
    BOTHELL, WA
    ZIP 98021
  • Facility Phone: 425 424-2255
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: CARLY CHRISTOU
  • NPI Number: 1053328187
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2259699
LAB Type Other - AFH
Facility Name CANYON PARK RETREAT ADULT FAMILY HOME
Street 1410 233RD PL SE
City BOTHELL
State WA
ZIP 98021
Phone 425 424-2255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2022
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director CARLY CHRISTOU

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