50D2302482 CLIA NUMBER - ELIZABETH'S CARE HOME LLC

Laboratory Demographics

CLIA Number: 50D2302482

Facility Name: ELIZABETH'S CARE HOME LLC

Facility Address:
12117 SE 164TH ST
RENTON, WA
ZIP 98058
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Facility Phone Number: 425 271-8416

Facility Type: Other - AFH

Certificate Type: Waiver

NPI Number: 1336199934

Taxonomy: 183500000X - Pharmacist
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

CLIA Record

Field Name	Field Value
CLIA Number	50D2302482
LAB Type	Other - AFH
Facility Name	ELIZABETH'S CARE HOME LLC
Street	12117 SE 164TH ST
City	RENTON
State	WA
ZIP	98058
Phone	425 271-8416
CertificateType	4
CertificateEffectiveDate	4/10/2024
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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