50D2254834 CLIA NUMBER - VALLEY SUPPORTED LIVING, INC

Laboratory Demographics

  • CLIA Code: 50D2254834
  • Facility Name: VALLEY SUPPORTED LIVING, INC
  • Facility Address: 10210 123RD STREET CT E STE B
    PUYALLUP, WA
    ZIP 98374
  • Facility Phone: 253 840-2914
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TOBIAS RAGOCZY
  • NPI Number: 1487840146
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 50D2254834
LAB Type Assisted Living Facility
Facility Name VALLEY SUPPORTED LIVING, INC
Street 10210 123RD STREET CT E STE B
City PUYALLUP
State WA
ZIP 98374
Phone 253 840-2914
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2022
Certificate Expiration Date 4/4/2028
Facility Type Assisted Living Facility
Lab Director TOBIAS RAGOCZY

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