50D2266778 CLIA NUMBER - ELLEN HOUSE AFH LLC

Laboratory Demographics

  • CLIA Code: 50D2266778
  • Facility Name: ELLEN HOUSE AFH LLC
  • Facility Address: 616 S 30TH AVE
    YAKIMA, WA
    ZIP 98902
  • Facility Phone: 509 895-7149
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: JENNA HESTER
  • NPI Number: 1558193706
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2266778
LAB Type Other - AFH
Facility Name ELLEN HOUSE AFH LLC
Street 616 S 30TH AVE
City YAKIMA
State WA
ZIP 98902
Phone 509 895-7149
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2022
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director JENNA HESTER

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