50D2034880 CLIA NUMBER - PUGET SOUND HOME HEALTH OF KING COUNTY

Laboratory Demographics

  • CLIA Code: 50D2034880
  • Facility Name: PUGET SOUND HOME HEALTH OF KING COUNTY
  • Facility Address: 4002 TACOMA MALL BLVD STE 204A
    TACOMA, WA
    ZIP 98409
  • Facility Phone: 253 735-4282
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DEVIN ROTHWELL
  • NPI Number: 1710410964
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 50D2034880
LAB Type Home Health Agency
Facility Name PUGET SOUND HOME HEALTH OF KING COUNTY
Street 4002 TACOMA MALL BLVD STE 204A
City TACOMA
State WA
ZIP 98409
Phone 253 735-4282
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2012
Certificate Expiration Date 4/4/2028
Facility Type Home Health Agency
Lab Director DEVIN ROTHWELL

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