50D2296594 CLIA NUMBER - CORDIAL PALACE B AFH

Laboratory Demographics

  • CLIA Code: 50D2296594
  • Facility Name: CORDIAL PALACE B AFH
  • Facility Address: 9105 78TH ST SW
    LAKEWOOD, WA
    ZIP 98498
  • Facility Phone: 253 292-1693
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: PURITY WAKABA
  • NPI Number: 1700620531
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2296594
LAB Type Other - AFH
Facility Name CORDIAL PALACE B AFH
Street 9105 78TH ST SW
City LAKEWOOD
State WA
ZIP 98498
Phone 253 292-1693
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 PURITY WAKABA

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