50D2300741 CLIA NUMBER - FAIRWOOD CARE HOME 2

Laboratory Demographics

  • CLIA Code: 50D2300741
  • Facility Name: FAIRWOOD CARE HOME 2
  • Facility Address: 13805 SE 161ST PL
    RENTON, WA
    ZIP 98058
  • Facility Phone: 425 988-3557
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: YOANA M. AITONEAN
  • NPI Number: 1619037157
  • Taxonomy: 1223X0400X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 50D2300741
LAB Type Other - AFH
Facility Name FAIRWOOD CARE HOME 2
Street 13805 SE 161ST PL
City RENTON
State WA
ZIP 98058
Phone 425 988-3557
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director YOANA M. AITONEAN

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