CLIA lab
CLIA 50D2029210: Jefferson Healthcare Port Ludlow Clinic
Port Ludlow, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2029210 belongs to Jefferson Healthcare Port Ludlow Clinic in Port Ludlow, WA.
Certificate for Provider-Performed Microscopy Procedures, effective September 1, 2011, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- September 1, 2011
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 2011
- Facility type
- Rural health clinic
- Ownership (control type)
- Government, county
- 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
- 50D2029210
- Lab name
- Jefferson Healthcare Port Ludlow Clinic
- Address
- 89 Breaker Ln, Port Ludlow, WA 98365
- Phone
- (360) 437-5067
- Fax
- (360) 437-4158
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.
Related
Questions
What is the CLIA number for Jefferson Healthcare Port Ludlow Clinic in Port Ludlow?
50D2029210, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jefferson Healthcare Port Ludlow Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 50D2029210 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect September 1, 2011.