50D2301566 CLIA NUMBER - RICHMOND BEACH AFH LLC

Laboratory Demographics

CLIA Number: 50D2301566

Facility Name: RICHMOND BEACH AFH LLC

Facility Address:
1459 NW 198TH ST
SHORELINE, WA
ZIP 98177
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Facility Phone Number: 206 403-6623

Facility Type: Other - AFH

Certificate Type: Waiver

NPI Number: 1932159407

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name	Field Value
CLIA Number	50D2301566
LAB Type	Other - AFH
Facility Name	RICHMOND BEACH AFH LLC
Street	1459 NW 198TH ST
City	SHORELINE
State	WA
ZIP	98177
Phone	206 403-6623
CertificateType	4
CertificateEffectiveDate	3/27/2024
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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