50D2296571 CLIA NUMBER - THE FOSTERS CARE HOMES LLC

Laboratory Demographics

CLIA Number: 50D2296571

Facility Name: THE FOSTERS CARE HOMES LLC

Facility Address:
19809 16TH AVENUE CT E
SPANAWAY, WA
ZIP 98387
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Facility Phone Number: 253 375-7688

Facility Type: Other - AFH

Certificate Type: Waiver

NPI Number: 1093469850

Taxonomy: 311ZA0620X - Custodial Care Facility
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

CLIA Record

Field Name	Field Value
CLIA Number	50D2296571
LAB Type	Other - AFH
Facility Name	THE FOSTERS CARE HOMES LLC
Street	19809 16TH AVENUE CT E
City	SPANAWAY
State	WA
ZIP	98387
Phone	253 375-7688
CertificateType	4
CertificateEffectiveDate	1/2/2024
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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This page was last updated on: 4/23/2024