50D2313432 CLIA NUMBER - ANGEL OF MERCY AFH LLC

Laboratory Demographics

  • CLIA Code: 50D2313432
  • Facility Name: ANGEL OF MERCY AFH LLC
  • Facility Address: 10113 BECKER DR SW
    LAKEWOOD, WA
    ZIP 98499
  • Facility Phone: 253 441-9273
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: SUSAN WAKABA
  • NPI Number: 1306971809
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2313432
LAB Type Other - AFH
Facility Name ANGEL OF MERCY AFH LLC
Street 10113 BECKER DR SW
City LAKEWOOD
State WA
ZIP 98499
Phone 253 441-9273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director SUSAN WAKABA

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This page was last updated on: 9/29/2025