50D2293505 CLIA NUMBER - WELCOME HOME LODGE AFH, LLC

Laboratory Demographics

  • CLIA Code: 50D2293505
  • Facility Name: WELCOME HOME LODGE AFH, LLC
  • Facility Address: 27 HAHN RD
    OMAK, WA
    ZIP 98841
  • Facility Phone: 509 322-4410
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: KELLIE DAVIES
  • NPI Number: 1598511545
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 50D2293505
LAB Type Other - AFH
Facility Name WELCOME HOME LODGE AFH, LLC
Street 27 HAHN RD
City OMAK
State WA
ZIP 98841
Phone 509 322-4410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director KELLIE DAVIES

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