CLIA lab

CLIA 50D1054859: Costco Pharmacy #740

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

CLIA number 50D1054859 belongs to Costco Pharmacy #740 in Lacey, WA.

Certificate of Waiver, effective June 1, 2006, 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 1, 2006
Certificate expiration
April 4, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 1, 2006
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
50D1054859
Lab name
Costco Pharmacy #740
Address
1470 Marvin Road NE, Lacey, WA 98516
Phone
(425) 313-6275
Fax
(425) 313-6922

Other labs in Lacey, WA

Related

Questions

What is the CLIA number for Costco Pharmacy #740 in Lacey?

50D1054859, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Costco Pharmacy #740 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 50D1054859 expire?

The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect June 1, 2006.

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