50D2292483 CLIA NUMBER - JOYLAND AFH LLC

Laboratory Demographics

  • CLIA Code: 50D2292483
  • Facility Name: JOYLAND AFH LLC
  • Facility Address: 5410 34TH AVE SE
    LACEY, WA
    ZIP 98503
  • Facility Phone: 206 606-3580
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: WILLIE N. KABUCHO
  • NPI Number: 1558103812
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 50D2292483
LAB Type Other - AFH
Facility Name JOYLAND AFH LLC
Street 5410 34TH AVE SE
City LACEY
State WA
ZIP 98503
Phone 206 606-3580
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director WILLIE N. KABUCHO

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