50D2316188 CLIA NUMBER - SUNRISE SENIOR HOME LLC

Laboratory Demographics

  • CLIA Code: 50D2316188
  • Facility Name: SUNRISE SENIOR HOME LLC
  • Facility Address: 1820 224TH ST SW
    BOTHELL, WA
    ZIP 98021
  • Facility Phone: 206 414-4450
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: DANIEL GHEBRE
  • NPI Number: 1760043350
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2316188
LAB Type Other - AFH
Facility Name SUNRISE SENIOR HOME LLC
Street 1820 224TH ST SW
City BOTHELL
State WA
ZIP 98021
Phone 206 414-4450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director DANIEL GHEBRE

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