50D2285743 CLIA NUMBER - ADVANCED GERIATRIC CARE

Laboratory Demographics

  • CLIA Code: 50D2285743
  • Facility Name: ADVANCED GERIATRIC CARE
  • Facility Address: 20404 110TH AVE SE
    KENT, WA
    ZIP 98031
  • Facility Phone: 206 550-2754
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SELAM ESTEFANOS
  • NPI Number: 1194442954
  • Taxonomy: 363L00000X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D2285743
LAB Type Home Health Agency
Facility Name ADVANCED GERIATRIC CARE
Street 20404 110TH AVE SE
City KENT
State WA
ZIP 98031
Phone 206 550-2754
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2023
Certificate Expiration Date 4/4/2028
Facility Type Home Health Agency
Lab Director SELAM ESTEFANOS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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