50D2279027 CLIA NUMBER - SARAUSAD HOMES INC

Laboratory Demographics

CLIA Number: 50D2279027

Facility Name: SARAUSAD HOMES INC

Facility Address:
20203 20TH AVE NW
SHORELINE, WA
ZIP 98177
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Facility Phone Number: 206 533-8386

Facility Type: Other - AFH

Certificate Type: Waiver

NPI Number: 1356813737

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name	Field Value
CLIA Number	50D2279027
LAB Type	Other - AFH
Facility Name	SARAUSAD HOMES INC
Street	20203 20TH AVE NW
City	SHORELINE
State	WA
ZIP	98177
Phone	206 533-8386
CertificateType	4
CertificateEffectiveDate	3/28/2023
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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This page was last updated on: 4/23/2024