CLIA lab
CLIA 50D2030830: SRC - Dermatology - Riverbend
Mount Vernon, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2030830 belongs to SRC - Dermatology - Riverbend in Mount Vernon, WA.
Certificate for Provider-Performed Microscopy Procedures, effective May 16, 2017, 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
- May 16, 2017
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 6, 2011
- Facility type
- Other
- 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
- 50D2030830
- Lab name
- SRC - Dermatology - Riverbend
- Address
- 2320 Freeway Dr, Mount Vernon, WA 98273
- Phone
- (360) 428-2120
- Fax
- (360) 428-2381
Annual test volume the lab reported
- Waived tests
- 1,000
- Provider-performed microscopy tests
- 1,000
- Total
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Ashley Gardens Mount VernonCertificate of Waiver, Assisted living facility50D2205887
- Bakerview Adult Family Home LLCCertificate of Waiver, Other50D2346899
- Berliner, Carl, MD, PLLCCertificate for Provider-Performed Microscopy Procedures, Physician office50D2005242
- Camp KoreyCertificate of Waiver, Other50D1086046
- Cascade Facial Surgery and Aesthetics PLLCCertificate of Waiver, Physician office50D2070363
- Cascade Imaging AssociatesCertificate of Waiver, Other50D2176253
- Cascadia SurgicalCertificate of Waiver, Ambulatory surgery center50D2229869
- Chinn GYN, LLCCertificate for Provider-Performed Microscopy Procedures, Other50D2166273
- Community Action of Skagit CountyCertificate of Waiver, Other50D0912969
Related
Questions
What is the CLIA number for SRC - Dermatology - Riverbend in Mount Vernon?
50D2030830, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does SRC - Dermatology - Riverbend hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 50D2030830 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect May 16, 2017.