50D2320692 CLIA NUMBER - PACIFIC WELLNESS HOME VISIT LLC

Laboratory Demographics

  • CLIA Code: 50D2320692
  • Facility Name: PACIFIC WELLNESS HOME VISIT LLC
  • Facility Address: 108 UNION AVE
    SNOHOMISH, WA
    ZIP 98290
  • Facility Phone: 206 458-5983
  • Facility Type: Other - HOUSE CALLS
  • Facility Type: Microscopy
  • Lab Director: AMARE KASSAHUN
  • NPI Number: 1013767383
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 50D2320692
LAB Type Other - HOUSE CALLS
Facility Name PACIFIC WELLNESS HOME VISIT LLC
Street 108 UNION AVE
City SNOHOMISH
State WA
ZIP 98290
Phone 206 458-5983
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 4/4/2028
Facility Type Other - HOUSE CALLS
Lab Director AMARE KASSAHUN

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