50D2258456 CLIA NUMBER - LAKE VIEW AFH

Laboratory Demographics

  • CLIA Code: 50D2258456
  • Facility Name: LAKE VIEW AFH
  • Facility Address: 5831 NE 180TH ST
    KENMORE, WA
    ZIP 98028
  • Facility Phone: 206 265-0861
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: AURICA CUC
  • NPI Number: 1760732580
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 50D2258456
LAB Type Other - AFH
Facility Name LAKE VIEW AFH
Street 5831 NE 180TH ST
City KENMORE
State WA
ZIP 98028
Phone 206 265-0861
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2022
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director AURICA CUC

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