50D2282179 CLIA NUMBER - WASHINGTON PLACE LLC

Laboratory Demographics

  • CLIA Code: 50D2282179
  • Facility Name: WASHINGTON PLACE LLC
  • Facility Address: 32417 8TH AVE SW
    FEDERAL WAY, WA
    ZIP 98023
  • Facility Phone: 206 999-1104
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: DONG PARK
  • NPI Number: 1134661523
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2282179
LAB Type Other - AFH
Facility Name WASHINGTON PLACE LLC
Street 32417 8TH AVE SW
City FEDERAL WAY
State WA
ZIP 98023
Phone 206 999-1104
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2023
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director DONG PARK

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