50D2329543 CLIA NUMBER - COLUMBIA SHORES AFH LLC

Laboratory Demographics

  • CLIA Code: 50D2329543
  • Facility Name: COLUMBIA SHORES AFH LLC
  • Facility Address: 6127 W VICTORIA AVE
    KENNEWICK, WA
    ZIP 99336
  • Facility Phone: 314 498-3077
  • Facility Type: Other - AFH
  • Facility Type: Waiver
  • Lab Director: HYCINE SIKUKU
  • NPI Number: 1699158261
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 50D2329543
LAB Type Other - AFH
Facility Name COLUMBIA SHORES AFH LLC
Street 6127 W VICTORIA AVE
City KENNEWICK
State WA
ZIP 99336
Phone 314 498-3077
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2025
Certificate Expiration Date 4/4/2028
Facility Type Other - AFH
Lab Director HYCINE SIKUKU

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