50D2287638 CLIA NUMBER - EVERGREEN MANOR SENIOR CARE, INC

Laboratory Demographics

  • CLIA Code: 50D2287638
  • Facility Name: EVERGREEN MANOR SENIOR CARE, INC
  • Facility Address: 13452 124TH AVE NE
    KIRKLAND, WA
    ZIP 98034
  • Facility Phone: 425 629-3994
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: RALUCA TOMOIGA
  • NPI Number: 1952340036
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D2287638
LAB Type Other - AFH
Facility Name EVERGREEN MANOR SENIOR CARE, INC
Street 13452 124TH AVE NE
City KIRKLAND
State WA
ZIP 98034
Phone 425 629-3994
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2023
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director RALUCA TOMOIGA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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