50D2313934 CLIA NUMBER - ADVANCED HOME CARE LLC

Laboratory Demographics

  • CLIA Code: 50D2313934
  • Facility Name: ADVANCED HOME CARE LLC
  • Facility Address: 25407 117TH PL SE
    KENT, WA
    ZIP 98030
  • Facility Phone: 253 859-5808
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: REBECCA S. LEWI
  • NPI Number: 1215760608
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 50D2313934
LAB Type Other - AFH
Facility Name ADVANCED HOME CARE LLC
Street 25407 117TH PL SE
City KENT
State WA
ZIP 98030
Phone 253 859-5808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director REBECCA S. LEWI

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