50D2301867 CLIA NUMBER - ARISING SUN OF MARYSVILLE, LLC

Laboratory Demographics

CLIA Code: 50D2301867
Facility Name: ARISING SUN OF MARYSVILLE, LLC
Facility Address: 6414 77TH PL NE
MARYSVILLE, WA
ZIP 98270
Facility Phone: 850 339-8809
Facility Type: Other - AFH
Facility Type: Waiver
Lab Director: KAREEM STINNET
NPI Number: 1205626991
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	50D2301867
LAB Type	Other - AFH
Facility Name	ARISING SUN OF MARYSVILLE, LLC
Street	6414 77TH PL NE
City	MARYSVILLE
State	WA
ZIP	98270
Phone	850 339-8809
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	4/2/2024
Certificate Expiration Date	4/4/2028
Facility Type	Other - AFH
Lab Director	KAREEM STINNET

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