50D2308538 CLIA NUMBER - KENMORE RETREAT AFH

Laboratory Demographics

  • CLIA Code: 50D2308538
  • Facility Name: KENMORE RETREAT AFH
  • Facility Address: 8030 NE 203RD ST
    KENMORE, WA
    ZIP 98028
  • Facility Phone: 425 415-0874
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: MARIA JUMANCA

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CLIA Record

Field Name Field Value
CLIA Number 50D2308538
LAB Type Other - AFH
Facility Name KENMORE RETREAT AFH
Street 8030 NE 203RD ST
City KENMORE
State WA
ZIP 98028
Phone 425 415-0874
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2024
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director MARIA JUMANCA

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