50D0636075 CLIA NUMBER - PARK ROSE CARE CENTER

Laboratory Demographics

  • CLIA Code: 50D0636075
  • Facility Name: PARK ROSE CARE CENTER
  • Facility Address: 3919 SOUTH 19TH
    TACOMA, WA
    ZIP 98405
  • Facility Phone: (253) 752-5677
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: WENDWESEN LEMMA
  • NPI Number: 1316045537
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D0636075
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PARK ROSE CARE CENTER
Street 3919 SOUTH 19TH
City TACOMA
State WA
ZIP 98405
Phone 2537525677
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2011
Certificate Expiration Date 4/4/2028
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director WENDWESEN LEMMA

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This page was last updated on: 5/18/2026