50D1014705 CLIA NUMBER - WESLEY HOME COMMUNITY HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 50D1014705
  • Facility Name: WESLEY HOME COMMUNITY HEALTH SERVICES
  • Facility Address: 815 S 216TH STREET
    DES MOINES, WA
    ZIP 98198
  • Facility Phone: 206 870-1127
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MELINDA J. MOORE
  • NPI Number: 1851831994
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D1014705
LAB Type Home Health Agency
Facility Name WESLEY HOME COMMUNITY HEALTH SERVICES
Street 815 S 216TH STREET
City DES MOINES
State WA
ZIP 98198
Phone 206 870-1127
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2003
Certificate Expiration Date 4/4/2028
Facility Type Home Health Agency
Lab Director MELINDA J. MOORE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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