50D2291253 CLIA NUMBER - GRATEFUL HEARTS CARE HOME LLC

Laboratory Demographics

  • CLIA Code: 50D2291253
  • Facility Name: GRATEFUL HEARTS CARE HOME LLC
  • Facility Address: 1213 120TH ST S
    TACOMA, WA
    ZIP 98444
  • Facility Phone: 206 347-6080
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: MARISA S. LALANGAN
  • NPI Number: 1922741818
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2291253
LAB Type Other - AFH
Facility Name GRATEFUL HEARTS CARE HOME LLC
Street 1213 120TH ST S
City TACOMA
State WA
ZIP 98444
Phone 206 347-6080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2023
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director MARISA S. LALANGAN

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This page was last updated on: 6/4/2025