50D2265533 CLIA NUMBER - HOPE HAVEN CARE HOMES LLC

Laboratory Demographics

  • CLIA Code: 50D2265533
  • Facility Name: HOPE HAVEN CARE HOMES LLC
  • Facility Address: 14719 103RD AVE E
    PUYALLUP, WA
    ZIP 98374
  • Facility Phone: 253 840-2195
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: GRACE GITHINJI
  • NPI Number: 1497406458
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 50D2265533
LAB Type Other - AFH
Facility Name HOPE HAVEN CARE HOMES LLC
Street 14719 103RD AVE E
City PUYALLUP
State WA
ZIP 98374
Phone 253 840-2195
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2022
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director GRACE GITHINJI

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