50D2292944 CLIA NUMBER - AT FAMILY PRACTICE GROUP

Laboratory Demographics

  • CLIA Code: 50D2292944
  • Facility Name: AT FAMILY PRACTICE GROUP
  • Facility Address: 24604 104TH AVE SE STE 201
    KENT, WA
    ZIP 98030
  • Facility Phone: 253 854-9799
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMANDEEP MANN
  • NPI Number: 1346938685
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2292944
LAB Type Physician Office
Facility Name AT FAMILY PRACTICE GROUP
Street 24604 104TH AVE SE STE 201
City KENT
State WA
ZIP 98030
Phone 253 854-9799
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director AMANDEEP MANN

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