CLIA lab
CLIA 50D0630358: Evergreenhealth Primary Care, Lakeshore Totem Lake
Kirkland, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D0630358 belongs to Evergreenhealth Primary Care, Lakeshore Totem Lake in Kirkland, 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 13, 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
- 50D0630358
- Lab name
- Evergreenhealth Primary Care, Lakeshore Totem Lake
- Address
- 12710 Totem Lake Blvd NE, Kirkland, WA 98034
- Phone
- (425) 821-4040
- Fax
- (425) 820-5060
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 Evergreenhealth Primary Care, Lakeshore Totem Lake in Kirkland?
50D0630358, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Evergreenhealth Primary Care, Lakeshore Totem Lake hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D0630358 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect August 7, 2023.