50D2313862 CLIA NUMBER - EVERETT ESF

Laboratory Demographics

  • CLIA Code: 50D2313862
  • Facility Name: EVERETT ESF
  • Facility Address: 6502 EVERGREEN WAY
    EVERETT, WA
    ZIP 98203
  • Facility Phone: 425 740-3211
  • Facility Type: Other - ENHANCED SERVICES FAC.
  • Facility Type: Waiver
  • Lab Director: KIM H. LIGHTFOOT
  • NPI Number: 1336310382
  • Taxonomy: 207KA0200X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 50D2313862
LAB Type Other - ENHANCED SERVICES FAC.
Facility Name EVERETT ESF
Street 6502 EVERGREEN WAY
City EVERETT
State WA
ZIP 98203
Phone 425 740-3211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2024
Certificate Expiration Date 4/4/2028
Facility Type Other - ENHANCED SERVICES FAC.
Lab Director KIM H. LIGHTFOOT

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