CLIA lab

CLIA 50D1020234: Costco Pharmacy #662

Burlington, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 50D1020234 belongs to Costco Pharmacy #662 in Burlington, WA.

Certificate of Waiver, effective December 15, 2003, 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 Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
December 15, 2003
Certificate expiration
April 4, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
December 15, 2003
Facility type
Pharmacy
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
50D1020234
Lab name
Costco Pharmacy #662
Address
1725 S Burlington Blvd, Burlington, WA 98233
Phone
(360) 757-5702
Fax
(360) 757-5709

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 Burlington, WA

Related

Questions

What is the CLIA number for Costco Pharmacy #662 in Burlington?

50D1020234, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Costco Pharmacy #662 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 50D1020234 expire?

The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect December 15, 2003.

Try it on your own data today.

Free to start. Most teams are using it the same day.