50D2302775 CLIA NUMBER - EVERGREEN FAMILY HOME LLC

Laboratory Demographics

  • CLIA Code: 50D2302775
  • Facility Name: EVERGREEN FAMILY HOME LLC
  • Facility Address: 5101 BEAUMONT DR
    EVERETT, WA
    ZIP 98203
  • Facility Phone: (206) 531-9514
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: AZANAW MEKONENE

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CLIA Record

Field Name Field Value
CLIA Number 50D2302775
LAB Type Other - AFH
Facility Name EVERGREEN FAMILY HOME LLC
Street 5101 BEAUMONT DR
City EVERETT
State WA
ZIP 98203
Phone 2065319514
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director AZANAW MEKONENE

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This page was last updated on: 5/18/2026