50D2290696 CLIA NUMBER - PINEWOODS AFH

Laboratory Demographics

  • CLIA Code: 50D2290696
  • Facility Name: PINEWOODS AFH
  • Facility Address: 2526 SW 323RD ST
    FEDERAL WAY, WA
    ZIP 98023
  • Facility Phone: (253) 944-1950
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: PATRICK M. AYUMA
  • NPI Number: 1457803389
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2290696
LAB Type Other - AFH
Facility Name PINEWOODS AFH
Street 2526 SW 323RD ST
City FEDERAL WAY
State WA
ZIP 98023
Phone 2539441950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2023
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director PATRICK M. AYUMA

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This page was last updated on: 6/29/2026