50D2292060 CLIA NUMBER - RACHEL'S BROOKE MANOR AFH

Laboratory Demographics

  • CLIA Code: 50D2292060
  • Facility Name: RACHEL'S BROOKE MANOR AFH
  • Facility Address: 11922 NYANZA RD SW
    LAKEWOOD, WA
    ZIP 98499
  • Facility Phone: 253 503-0459
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: PERIS MUNGAI
  • NPI Number: 1912569872
  • Taxonomy: 103K00000X - Behavior Analyst

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CLIA Record

Field Name Field Value
CLIA Number 50D2292060
LAB Type Other - AFH
Facility Name RACHEL'S BROOKE MANOR AFH
Street 11922 NYANZA RD SW
City LAKEWOOD
State WA
ZIP 98499
Phone 253 503-0459
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2023
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director PERIS MUNGAI

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