50D2318551 CLIA NUMBER - LAKE BURIEN TRANSITIONAL CARE FACILITY

Laboratory Demographics

  • CLIA Code: 50D2318551
  • Facility Name: LAKE BURIEN TRANSITIONAL CARE FACILITY
  • Facility Address: 1043 SW 152ND ST
    SEATTLE, WA
    ZIP 98166
  • Facility Phone: 206 690-3800
  • Facility Type: Other - YOUGH TRANSITIONAL CARE
  • Facility Type: Waiver
  • Lab Director: GREGORY PARADA
  • NPI Number: 1053545319
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2318551
LAB Type Other - YOUGH TRANSITIONAL CARE
Facility Name LAKE BURIEN TRANSITIONAL CARE FACILITY
Street 1043 SW 152ND ST
City SEATTLE
State WA
ZIP 98166
Phone 206 690-3800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2025
Certificate Expiration Date 4/4/2028
Facility Type Other - YOUGH TRANSITIONAL CARE
Lab Director GREGORY PARADA

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