50D2298533 CLIA NUMBER - LIVEWELL ADULT FAMILY HOME,LLC-02

Laboratory Demographics

  • CLIA Code: 50D2298533
  • Facility Name: LIVEWELL ADULT FAMILY HOME,LLC-02
  • Facility Address: 520 105TH ST SW
    EVERETT, WA
    ZIP 98204
  • Facility Phone: 425 780-0020
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: TIGIST DESTA

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CLIA Record

Field Name Field Value
CLIA Number 50D2298533
LAB Type Other - AFH
Facility Name LIVEWELL ADULT FAMILY HOME,LLC-02
Street 520 105TH ST SW
City EVERETT
State WA
ZIP 98204
Phone 425 780-0020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director TIGIST DESTA

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