CLIA lab
CLIA 50D2108445: Pacifica Medicine and Wellness
Poulsbo, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2108445 belongs to Pacifica Medicine and Wellness in Poulsbo, WA.
Certificate of Waiver, effective February 4, 2016, 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
- February 4, 2016
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 4, 2016
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 50D2108445
- Lab name
- Pacifica Medicine and Wellness
- Address
- 19980 10th Ave NE Ste 202, Poulsbo, WA 98370
- Phone
- (360) 979-0569
- Fax
- (877) 805-9505
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 Pacifica Medicine and Wellness in Poulsbo?
50D2108445, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pacifica Medicine and Wellness hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D2108445 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect February 4, 2016.