50D2280881 CLIA NUMBER - AMANI PALACE AFH LLC

Laboratory Demographics

CLIA Number: 50D2280881

Facility Name: AMANI PALACE AFH LLC

Facility Address:
3536 HAMPTON WAY
KENT, WA
ZIP 98032
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Facility Phone Number: 206 552-6423

Facility Type: Other - AFH

Certificate Type: Waiver

NPI Number: 1689309874

Taxonomy: 311ZA0620X - Custodial Care Facility
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

CLIA Record

Field Name	Field Value
CLIA Number	50D2280881
LAB Type	Other - AFH
Facility Name	AMANI PALACE AFH LLC
Street	3536 HAMPTON WAY
City	KENT
State	WA
ZIP	98032
Phone	206 552-6423
CertificateType	4
CertificateEffectiveDate	4/27/2023
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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This page was last updated on: 4/23/2024