50D2296352 CLIA NUMBER - HALE OHANA CARE

Laboratory Demographics

  • CLIA Code: 50D2296352
  • Facility Name: HALE OHANA CARE
  • Facility Address: 10713 WESTWOOD DR SW
    LAKEWOOD, WA
    ZIP 98499
  • Facility Phone: 253 256-3088
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: RAENIELLE SUNGA
  • NPI Number: 1962281303
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2296352
LAB Type Other - AFH
Facility Name HALE OHANA CARE
Street 10713 WESTWOOD DR SW
City LAKEWOOD
State WA
ZIP 98499
Phone 253 256-3088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2023
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director RAENIELLE SUNGA

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