50D2276698 CLIA NUMBER - SILVER CREEK ADULT FAMILY HOME

Laboratory Demographics

  • CLIA Code: 50D2276698
  • Facility Name: SILVER CREEK ADULT FAMILY HOME
  • Facility Address: 1130 11TH ST SW
    PUYALLUP, WA
    ZIP 98371
  • Facility Phone: 253 256-7160
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: ANNIE AGUSTO
  • NPI Number: 1023716487
  • Taxonomy: 163W00000X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 50D2276698
LAB Type Other - AFH
Facility Name SILVER CREEK ADULT FAMILY HOME
Street 1130 11TH ST SW
City PUYALLUP
State WA
ZIP 98371
Phone 253 256-7160
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2023
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director ANNIE AGUSTO

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