50D2316971 CLIA NUMBER - LYNNWOOD MANOR AFH LLC

Laboratory Demographics

  • CLIA Code: 50D2316971
  • Facility Name: LYNNWOOD MANOR AFH LLC
  • Facility Address: 20829 53RD AVE W
    LYNNWOOD, WA
    ZIP 98036
  • Facility Phone: 206 788-6730
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: AMSAL BRHANU
  • NPI Number: 1831349968
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2316971
LAB Type Other - AFH
Facility Name LYNNWOOD MANOR AFH LLC
Street 20829 53RD AVE W
City LYNNWOOD
State WA
ZIP 98036
Phone 206 788-6730
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director AMSAL BRHANU

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