50D2299877 CLIA NUMBER - BELLEVUE HAVEN AFH, INC

Laboratory Demographics

CLIA Number: 50D2299877

Facility Name: BELLEVUE HAVEN AFH, INC

Facility Address:
2202 144TH AVE SE
BELLEVUE, WA
ZIP 98007
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Facility Phone Number: 425 223-5740

Facility Type: Other - AFH

Certificate Type: Waiver

NPI Number: 1548434418

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	50D2299877
LAB Type	Other - AFH
Facility Name	BELLEVUE HAVEN AFH, INC
Street	2202 144TH AVE SE
City	BELLEVUE
State	WA
ZIP	98007
Phone	425 223-5740
CertificateType	4
CertificateEffectiveDate	2/28/2024
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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