50D2322595 CLIA NUMBER - HEARTSAVED ESF LLC

Laboratory Demographics

  • CLIA Code: 50D2322595
  • Facility Name: HEARTSAVED ESF LLC
  • Facility Address: 8619 36TH AVE NE
    MARYSVILLE, WA
    ZIP 98270
  • Facility Phone: 360 300-4762
  • Facility Type: Other - ENHANCED SERVICE FACILITY
  • Facility Type: Waiver
  • Lab Director: GIBRIEL MBOWE
  • NPI Number: 1811653769
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 50D2322595
LAB Type Other - ENHANCED SERVICE FACILITY
Facility Name HEARTSAVED ESF LLC
Street 8619 36TH AVE NE
City MARYSVILLE
State WA
ZIP 98270
Phone 360 300-4762
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/4/2028
Facility Type Other - ENHANCED SERVICE FACILITY
Lab Director GIBRIEL MBOWE

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