50D2270657 CLIA NUMBER - BELLEVUE ELDERLY CARE

Laboratory Demographics

  • CLIA Code: 50D2270657
  • Facility Name: BELLEVUE ELDERLY CARE
  • Facility Address: 102 162ND AVE SE
    BELLEVUE, WA
    ZIP 98008
  • Facility Phone: 425 223-5008
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: ADINA S. PURAVET
  • NPI Number: 1972816460
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2270657
LAB Type Other - AFH
Facility Name BELLEVUE ELDERLY CARE
Street 102 162ND AVE SE
City BELLEVUE
State WA
ZIP 98008
Phone 425 223-5008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2024
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director ADINA S. PURAVET

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This page was last updated on: 6/4/2025