CLIA lab
CLIA 50D0722390: Squaxin Island Health Clinic
Shelton, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D0722390 belongs to Squaxin Island Health Clinic in Shelton, WA.
Certificate of Waiver, effective October 21, 2024, expiration date October 20, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 21, 2024
- Certificate expiration
- October 20, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 24, 1994
- Facility type
- Other
- Ownership (control type)
- Government, other
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 50D0722390
- Lab name
- Squaxin Island Health Clinic
- Address
- SE 90 Klah Che Min Drive, Shelton, WA 98584
- Phone
- (360) 432-3941
Annual test volume the lab reported
- Waived tests
- 3,500
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 Squaxin Island Health Clinic in Shelton?
50D0722390, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Squaxin Island Health Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D0722390 expire?
The CMS file lists October 20, 2026 as the certificate expiration date; the certificate took effect October 21, 2024.