50D2294365 CLIA NUMBER - DES MOINES CREEK AFH LLC

Laboratory Demographics

  • CLIA Code: 50D2294365
  • Facility Name: DES MOINES CREEK AFH LLC
  • Facility Address: 21009 12TH AVE S
    DES MOINES, WA
    ZIP 98198
  • Facility Phone: 206 249-8012
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: FIKADU TIRURA
  • NPI Number: 1700954781
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 50D2294365
LAB Type Other - AFH
Facility Name DES MOINES CREEK AFH LLC
Street 21009 12TH AVE S
City DES MOINES
State WA
ZIP 98198
Phone 206 249-8012
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2023
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director FIKADU TIRURA

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