CLIA lab

CLIA 50D1104658: Light Elements Wellness

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

CLIA number 50D1104658 belongs to Light Elements Wellness in Republic, WA.

Certificate of Waiver, effective September 8, 2009, 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
September 8, 2009
Certificate expiration
April 4, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 8, 2009
Facility type
Mobile lab
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
50D1104658
Lab name
Light Elements Wellness
Address
42 Aprill Pl, Republic, WA 99166
Phone
(509) 775-2949
Fax
(509) 775-3266

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 Republic, WA

Related

Questions

What is the CLIA number for Light Elements Wellness in Republic?

50D1104658, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Light Elements Wellness hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 50D1104658 expire?

The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect September 8, 2009.

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