50D2303313 CLIA NUMBER - UNIVERSITY PLACE ADULT FAMILY HOME LLC

Laboratory Demographics

  • CLIA Code: 50D2303313
  • Facility Name: UNIVERSITY PLACE ADULT FAMILY HOME LLC
  • Facility Address: 6318 36TH ST W
    UNIVERSITY PLACE, WA
    ZIP 98466
  • Facility Phone: 253 566-2276
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: SHANNON DENNY
  • NPI Number: 1376572065
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2303313
LAB Type Other - AFH
Facility Name UNIVERSITY PLACE ADULT FAMILY HOME LLC
Street 6318 36TH ST W
City UNIVERSITY PLACE
State WA
ZIP 98466
Phone 253 566-2276
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director SHANNON DENNY

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