50D2304474 CLIA NUMBER - SUNSHINE STAR CARE ADULT FAMILY HOME LLC

Laboratory Demographics

  • CLIA Code: 50D2304474
  • Facility Name: SUNSHINE STAR CARE ADULT FAMILY HOME LLC
  • Facility Address: 11203 98TH AVE SW
    LAKEWOOD, WA
    ZIP 98498
  • Facility Phone: 206 670-5607
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: DERBY OMANGI

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CLIA Record

Field Name Field Value
CLIA Number 50D2304474
LAB Type Other - AFH
Facility Name SUNSHINE STAR CARE ADULT FAMILY HOME LLC
Street 11203 98TH AVE SW
City LAKEWOOD
State WA
ZIP 98498
Phone 206 670-5607
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director DERBY OMANGI

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