50D2259133 CLIA NUMBER - JONES PLACE 3 AFH

Laboratory Demographics

  • CLIA Code: 50D2259133
  • Facility Name: JONES PLACE 3 AFH
  • Facility Address: 27016 124TH AVE SE
    KENT, WA
    ZIP 98030
  • Facility Phone: 808 430-9787
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: SHAMALEL DEMENT
  • NPI Number: 1114471802
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 50D2259133
LAB Type Other - AFH
Facility Name JONES PLACE 3 AFH
Street 27016 124TH AVE SE
City KENT
State WA
ZIP 98030
Phone 808 430-9787
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2022
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director SHAMALEL DEMENT

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