50D2308880 CLIA NUMBER - VILLA TEODORA ADULT FAMILY HOME

Laboratory Demographics

  • CLIA Code: 50D2308880
  • Facility Name: VILLA TEODORA ADULT FAMILY HOME
  • Facility Address: 17136 SE 43RD ST
    BELLEVUE, WA
    ZIP 98006
  • Facility Phone: 425 649-9412
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: CARMEN ELENES

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CLIA Record

Field Name Field Value
CLIA Number 50D2308880
LAB Type Other - AFH
Facility Name VILLA TEODORA ADULT FAMILY HOME
Street 17136 SE 43RD ST
City BELLEVUE
State WA
ZIP 98006
Phone 425 649-9412
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director CARMEN ELENES

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