50D2319424 CLIA NUMBER - HERMIES ADULT FAMILY HOME2

Laboratory Demographics

  • CLIA Code: 50D2319424
  • Facility Name: HERMIES ADULT FAMILY HOME2
  • Facility Address: 1321 S 90TH ST
    TACOMA, WA
    ZIP 98444
  • Facility Phone: 253 539-4520
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: HERMINIA CULLA
  • NPI Number: 1831366806
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2319424
LAB Type Other - AFH
Facility Name HERMIES ADULT FAMILY HOME2
Street 1321 S 90TH ST
City TACOMA
State WA
ZIP 98444
Phone 253 539-4520
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director HERMINIA CULLA

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