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CARNELIAN AFH
NPI 1508797929
Custodial Care Facility - Adult Care Home in Lacey, WA

Active since May 26, 2026CLIA 50D2305236 · Waiver
1305 BOONE ST SE, LACEY, WA 98503(360) 764-7556 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carnelian Afh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARNELIAN AFH (NPI 1508797929) is a healthcare organization registered as an adult care home in Lacey, Washington and active in the NPI registry since May 2026. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Justus Maina, Founder, as its authorized official.

NPPES Registry Identity

NPI1508797929
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameCARNELIAN AFH
Location Address1305 BOONE ST SELacey, WA 98503-2260
Mailing Address1305 Boone St SeLacey, WA 98503-2260 · (360) 764-7556
Phone(360) 764-7556
Organization SubpartNo
Authorized OfficialJustus MainaFounder · (206) 460-2763
Enumeration DateMay 26, 2026
NPPES CertifiedMay 26, 2026
✔ NPI 1508797929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
1305 BOONE ST SE, Lacey, WA 98503
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2305236

Carnelian Afh · Lacey, WA
Active · expires Apr 4, 2028
CLIA Number50D2305236
Laboratory TypeAfh
Certificate Effective DateMay 28, 2024
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJustus Maina
Laboratory Phone(206) 460-2763
Laboratory LocationCarnelian Afh1305 Boone St SE, Lacey, WA 98503
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carnelian Afh's NPI number?

The NPI number for Carnelian Afh is 1508797929. It was assigned to this organization in the NPPES registry on May 26, 2026.

Where is Carnelian Afh located?

Carnelian Afh is located at 1305 Boone St SE, Lacey, WA 98503. The listed phone number is (360) 764-7556.

What is Carnelian Afh's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does Carnelian Afh hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2305236) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Carnelian Afh was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.