50D2229554 CLIA NUMBER - ACTRIV HEALTHCARE INC

Laboratory Demographics

CLIA Number: 50D2229554

Facility Name: ACTRIV HEALTHCARE INC

Facility Address:
3650 S CEDAR ST
TACOMA, WA
ZIP 98409
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Facility Phone Number: 253 433-7755

Facility Type: Other - EMPLOYMENT AGENCY

Certificate Type: Waiver

NPI Number: 1174119978

Taxonomy: 251J00000X - Nursing Care
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

CLIA Record

Field Name	Field Value
CLIA Number	50D2229554
LAB Type	Other - EMPLOYMENT AGENCY
Facility Name	ACTRIV HEALTHCARE INC
Street	3650 S CEDAR ST
City	TACOMA
State	WA
ZIP	98409
Phone	253 433-7755
CertificateType	4
CertificateEffectiveDate	7/13/2021
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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