50D2301183 CLIA NUMBER - ISLAND CREST ADULT FAMILY HOME

Laboratory Demographics

  • CLIA Code: 50D2301183
  • Facility Name: ISLAND CREST ADULT FAMILY HOME
  • Facility Address: 3321 72ND AVE SE
    MERCER ISLAND, WA
    ZIP 98040
  • Facility Phone: 206 275-0294
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: CLIFF NYACHAE
  • NPI Number: 1003146200
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 50D2301183
LAB Type Other - AFH
Facility Name ISLAND CREST ADULT FAMILY HOME
Street 3321 72ND AVE SE
City MERCER ISLAND
State WA
ZIP 98040
Phone 206 275-0294
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director CLIFF NYACHAE

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