50D2275677 CLIA NUMBER - AVIAN ADULT FAMILY HOME D

Laboratory Demographics

  • CLIA Code: 50D2275677
  • Facility Name: AVIAN ADULT FAMILY HOME D
  • Facility Address: 422 122ND ST S
    TACOMA, WA
    ZIP 98444
  • Facility Phone: 253 537-3910
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: ROSE NDIRITU
  • NPI Number: 1225647688
  • Taxonomy: 163W00000X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 50D2275677
LAB Type Other - AFH
Facility Name AVIAN ADULT FAMILY HOME D
Street 422 122ND ST S
City TACOMA
State WA
ZIP 98444
Phone 253 537-3910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2023
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director ROSE NDIRITU

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