50D2304385 CLIA NUMBER - MILLCREEK AFH

Laboratory Demographics

  • CLIA Code: 50D2304385
  • Facility Name: MILLCREEK AFH
  • Facility Address: 504 N 179TH PL
    SHORELINE, WA
    ZIP 98133
  • Facility Phone: 206 542-5129
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: JORGE FLOREZ
  • NPI Number: 1114721727
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2304385
LAB Type Other - AFH
Facility Name MILLCREEK AFH
Street 504 N 179TH PL
City SHORELINE
State WA
ZIP 98133
Phone 206 542-5129
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2024
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director JORGE FLOREZ

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This page was last updated on: 6/4/2025