50D2304750 CLIA NUMBER - CREATIVE HOME CARE AFH LLC

Laboratory Demographics

  • CLIA Code: 50D2304750
  • Facility Name: CREATIVE HOME CARE AFH LLC
  • Facility Address: 15520 33RD AVE NE
    LK FOREST PARK, WA
    ZIP 98155
  • Facility Phone: 206 363-2361
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: ADEN FESSHA

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CLIA Record

Field Name Field Value
CLIA Number 50D2304750
LAB Type Other - AFH
Facility Name CREATIVE HOME CARE AFH LLC
Street 15520 33RD AVE NE
City LK FOREST PARK
State WA
ZIP 98155
Phone 206 363-2361
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2024
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director ADEN FESSHA

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