50D2291432 CLIA NUMBER - CORDIAL PALACE AFH, LLC

Laboratory Demographics

  • CLIA Code: 50D2291432
  • Facility Name: CORDIAL PALACE AFH, LLC
  • Facility Address: 9001 RIDGEVIEW CIR W
    UNIVERSITY PLACE, WA
    ZIP 98466
  • Facility Phone: 253 473-8762
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: PURITY WAKABA
  • NPI Number: 1396589578
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2291432
LAB Type Other - AFH
Facility Name CORDIAL PALACE AFH, LLC
Street 9001 RIDGEVIEW CIR W
City UNIVERSITY PLACE
State WA
ZIP 98466
Phone 253 473-8762
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2023
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director PURITY WAKABA

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