50D2292554 CLIA NUMBER - FIR WOODS ADULT FAMILY HOME LLC

Laboratory Demographics

  • CLIA Code: 50D2292554
  • Facility Name: FIR WOODS ADULT FAMILY HOME LLC
  • Facility Address: 6924 15TH AVE SE
    LACEY, WA
    ZIP 98503
  • Facility Phone: 206 859-7163
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: EDWARD MWANGI

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CLIA Record

Field Name Field Value
CLIA Number 50D2292554
LAB Type Other - AFH
Facility Name FIR WOODS ADULT FAMILY HOME LLC
Street 6924 15TH AVE SE
City LACEY
State WA
ZIP 98503
Phone 206 859-7163
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director EDWARD MWANGI

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