50D2317763 CLIA NUMBER - ADVANCED CARE ADULT FAMILY HOME

Laboratory Demographics

  • CLIA Code: 50D2317763
  • Facility Name: ADVANCED CARE ADULT FAMILY HOME
  • Facility Address: 2514 NE 23RD PL
    RENTON, WA
    ZIP 98056
  • Facility Phone: 206 637-9482
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: JENIFER NEBRIDA
  • NPI Number: 1437223765
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2317763
LAB Type Other - AFH
Facility Name ADVANCED CARE ADULT FAMILY HOME
Street 2514 NE 23RD PL
City RENTON
State WA
ZIP 98056
Phone 206 637-9482
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2025
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director JENIFER NEBRIDA

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