50D2302423 CLIA NUMBER - 4 ELEMENTS AFH

Laboratory Demographics

  • CLIA Code: 50D2302423
  • Facility Name: 4 ELEMENTS AFH
  • Facility Address: 9111 9TH AVE SE
    EVERETT, WA
    ZIP 98208
  • Facility Phone: 425 789-1245
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: IAN WALLACE
  • NPI Number: 1427856897
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2302423
LAB Type Other - AFH
Facility Name 4 ELEMENTS AFH
Street 9111 9TH AVE SE
City EVERETT
State WA
ZIP 98208
Phone 425 789-1245
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2024
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director IAN WALLACE

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