CLIA lab
CLIA 50D1098629: Diagnostic Imaging Northwest
Bonney Lake, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D1098629 belongs to Diagnostic Imaging Northwest in Bonney Lake, WA.
Certificate of Waiver, effective December 11, 2015, 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
- December 11, 2015
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 23, 2009
- Facility type
- Other
- Ownership (control type)
- Other
- 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
- 50D1098629
- Lab name
- Diagnostic Imaging Northwest
- Address
- 21110 SR 410 E, Bonney Lake, WA 98390
- Phone
- (253) 841-4353
- Fax
- (253) 841-4353
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 Diagnostic Imaging Northwest in Bonney Lake?
50D1098629, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Diagnostic Imaging Northwest hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D1098629 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect December 11, 2015.