CLIA lab
CLIA 50D0629666: Evergreen Health Primary Care - Lakeshore Bothell
Bothell, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D0629666 belongs to Evergreen Health Primary Care - Lakeshore Bothell in Bothell, WA.
Certificate of Waiver, effective August 7, 2023, expires April 4, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- August 7, 2023
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 11, 1993
- Facility type
- Physician office
- Ownership (control type)
- Government, county
- Lab classification
- CLIA exempt laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 50D0629666
- Lab name
- Evergreen Health Primary Care - Lakeshore Bothell
- Address
- 10025 NE 186th St, Bothell, WA 98011
- Phone
- (425) 486-9131
- Fax
- (425) 486-9490
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Evergreen Health Primary Care - Lakeshore Bothell in Bothell?
50D0629666, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Evergreen Health Primary Care - Lakeshore Bothell hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D0629666 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect August 7, 2023.