50D2317055 CLIA NUMBER - AGING WITH CARE AFH LLC

Laboratory Demographics

  • CLIA Code: 50D2317055
  • Facility Name: AGING WITH CARE AFH LLC
  • Facility Address: 22300 NE 58TH ST
    VANCOUVER, WA
    ZIP 98682
  • Facility Phone: 360 852-3884
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: TATYANA GUDISHVILI
  • NPI Number: 1487392817
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2317055
LAB Type Other - AFH
Facility Name AGING WITH CARE AFH LLC
Street 22300 NE 58TH ST
City VANCOUVER
State WA
ZIP 98682
Phone 360 852-3884
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2025
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director TATYANA GUDISHVILI

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