CLIA lab
CLIA 50D0630032: Swedish Pine Lake Primary Care
Sammamish, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D0630032 belongs to Swedish Pine Lake Primary Care in Sammamish, WA.
Certificate of Waiver, effective June 24, 2019, 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
- June 24, 2019
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 24, 1993
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 50D0630032
- Lab name
- Swedish Pine Lake Primary Care
- Address
- 22707 SE 29th St, Sammamish, WA 98075
- Phone
- (425) 455-2845
- Fax
- (206) 861-8602
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.
Other labs in Sammamish, WA
- Allegro PediatricsCertificate of Waiver, Physician office50D0957917
- Angelic Care AfhCertificate of Waiver, Other50D2302317
- CVS Pharmacy #11680Certificate of Waiver, Pharmacy50D2328221
- Grace at Pine Afh LLCCertificate of Waiver, Other50D2337329
- Lucas AfhCertificate of Waiver, Other50D2335998
- Overlake Medical Clinic SammamishCertificate of Waiver, Physician office50D2140342
- Pine Lake Afh IncCertificate of Waiver, Other50D2272628
- Premier Gentle CareCertificate of Waiver, Other50D2295296
- QFC Pharmacy #824Certificate of Waiver, Pharmacy50D2350588
- Safeway Pharmacy 0555Certificate of Waiver, Pharmacy50D2053401
Related
Questions
What is the CLIA number for Swedish Pine Lake Primary Care in Sammamish?
50D0630032, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Swedish Pine Lake Primary Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D0630032 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect June 24, 2019.