50D2313624 CLIA NUMBER - BELMONT PLACE ADULT FAMILY HOME

Laboratory Demographics

  • CLIA Code: 50D2313624
  • Facility Name: BELMONT PLACE ADULT FAMILY HOME
  • Facility Address: 10505 108TH AVE SW
    TACOMA, WA
    ZIP 98498
  • Facility Phone: 253 267-1083
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: STEPHEN MAINGI
  • NPI Number: 1083585376
  • Taxonomy: 376K00000X - Nurse's Aide

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CLIA Record

Field Name Field Value
CLIA Number 50D2313624
LAB Type Other - AFH
Facility Name BELMONT PLACE ADULT FAMILY HOME
Street 10505 108TH AVE SW
City TACOMA
State WA
ZIP 98498
Phone 253 267-1083
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director STEPHEN MAINGI

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