50D2292847 CLIA NUMBER - KBD-J, INC DBA TENDECARE LIVING II

Laboratory Demographics

  • CLIA Code: 50D2292847
  • Facility Name: KBD-J, INC DBA TENDECARE LIVING II
  • Facility Address: 8831 CORBIN DR
    EVERETT, WA
    ZIP 98204
  • Facility Phone: 425 418-1732
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: BUSOLA JIMOH
  • NPI Number: 1073201067
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2292847
LAB Type Other - AFH
Facility Name KBD-J, INC DBA TENDECARE LIVING II
Street 8831 CORBIN DR
City EVERETT
State WA
ZIP 98204
Phone 425 418-1732
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director BUSOLA JIMOH

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