CLIA lab
CLIA 50D0909341: Kitsap Obgyn PLLC
Poulsbo, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D0909341 belongs to Kitsap Obgyn PLLC in Poulsbo, WA.
Certificate for Provider-Performed Microscopy Procedures, effective September 6, 2000, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- September 6, 2000
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 1, 1995
- Facility type
- Physician office
- Ownership (control type)
- Unknown
- 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
- 50D0909341
- Lab name
- Kitsap Obgyn PLLC
- Address
- 20700 Bond Rd NE Bldg B, Poulsbo, WA 98370
- Phone
- (360) 697-2199
- Fax
- (360) 779-5760
Annual test volume the lab reported
- Waived tests
- 1,000
- Provider-performed microscopy tests
- 500
- Total
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Poulsbo, WA
- A Mission for Michael WashingtonCertificate of Waiver, Other50D2309046
- Brookdale Montclair PoulsboCertificate of Waiver, Assisted living facility50D2169168
- Fhcc Peninsula LaboratoryCertificate of Accreditation, Hospital50D2290940
- Frontier DermatologyCertificate of Compliance, Physician office50D2108446
- Kinwell HealthCertificate of Waiver, Physician office50D2267099
- Liberty Shores Assisted LivingCertificate of Waiver, Assisted living facility50D2078840
- Martha and Mary Health ServicesCertificate of Waiver, Skilled nursing or nursing facility50D0635392
- North Kitsap Ambulatory Surgery CenterCertificate of Waiver, Ambulatory surgery center50D0635394
- North Kitsap School DistrictCertificate of Waiver, School or student health service50D2241279
- Pacific EyecareCertificate of Waiver, Physician office50D2136630
Related
Questions
What is the CLIA number for Kitsap Obgyn PLLC in Poulsbo?
50D0909341, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kitsap Obgyn PLLC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 50D0909341 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect September 6, 2000.