50D1000713 CLIA NUMBER - KENT TREATMENT SOLUTIONS

Laboratory Demographics

CLIA Number: 50D1000713

Facility Name: KENT TREATMENT SOLUTIONS

Facility Address:
21851 84TH AVE S #101
KENT, WA
ZIP 98032
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Facility Phone Number: 425 687-7082

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1285772988

Taxonomy: 261QM2800X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

CLIA Record

Field Name	Field Value
CLIA Number	50D1000713
LAB Type	Ambulance
Facility Name	KENT TREATMENT SOLUTIONS
Street	21851 84TH AVE S #101
City	KENT
State	WA
ZIP	98032
Phone	425 687-7082
CertificateType	4
CertificateEffectiveDate	6/20/2002
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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This page was last updated on: 4/23/2024