50D2156025 CLIA NUMBER - KING'S MANOR SENIOR LIVING COMMUNITY

Laboratory Demographics

  • CLIA Code: 50D2156025
  • Facility Name: KING'S MANOR SENIOR LIVING COMMUNITY
  • Facility Address: 8609 PORTLAND AVE E
    TACOMA, WA
    ZIP 98445
  • Facility Phone: 253 538-7222
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MARY EAGLE
  • NPI Number: 1467579250
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2156025
LAB Type Assisted Living Facility
Facility Name KING'S MANOR SENIOR LIVING COMMUNITY
Street 8609 PORTLAND AVE E
City TACOMA
State WA
ZIP 98445
Phone 253 538-7222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2018
Certificate Expiration Date 4/4/2028
Facility Type Assisted Living Facility
Lab Director MARY EAGLE

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