50D2284948 CLIA NUMBER - ALEXANDRA'S HOME 2

Laboratory Demographics

  • CLIA Code: 50D2284948
  • Facility Name: ALEXANDRA'S HOME 2
  • Facility Address: 1910 CRAIG RD SE
    OLYMPIA, WA
    ZIP 98501
  • Facility Phone: 360 878-8077
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: RODERICK BAGSIC
  • NPI Number: 1073717930
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name Field Value
CLIA Number 50D2284948
LAB Type Other - AFH
Facility Name ALEXANDRA'S HOME 2
Street 1910 CRAIG RD SE
City OLYMPIA
State WA
ZIP 98501
Phone 360 878-8077
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2023
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director RODERICK BAGSIC

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