50D2296576 CLIA NUMBER - ANGLE CARE KENMORE AFH

Laboratory Demographics

  • CLIA Code: 50D2296576
  • Facility Name: ANGLE CARE KENMORE AFH
  • Facility Address: 18504 61ST PL NE
    KENMORE, WA
    ZIP 98028
  • Facility Phone: 425 949-5064
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: WEYNI GHEBREYOUHANNS
  • NPI Number: 1992505499
  • Taxonomy: 374U00000X - Home Health Aide

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CLIA Record

Field Name Field Value
CLIA Number 50D2296576
LAB Type Other - AFH
Facility Name ANGLE CARE KENMORE AFH
Street 18504 61ST PL NE
City KENMORE
State WA
ZIP 98028
Phone 425 949-5064
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2024
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director WEYNI GHEBREYOUHANNS

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