CLIA lab
CLIA 50D2140342: Overlake Medical Clinic Sammamish
Sammamish, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2140342 belongs to Overlake Medical Clinic Sammamish in Sammamish, WA.
Certificate of Waiver, effective March 13, 2023, 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
- March 13, 2023
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 20, 2017
- Facility type
- Physician office
- 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
- 50D2140342
- Lab name
- Overlake Medical Clinic Sammamish
- Address
- 22630 SE 4th Ave Ste 300, Sammamish, WA 98074
- Phone
- (425) 635-3080
- Fax
- (425) 635-3096
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Lucas AfhCertificate of Waiver, Other50D2335998
- Pine Lake Afh IncCertificate of Waiver, Other50D2272628
- Premier Gentle CareCertificate of Waiver, Other50D2295296
- QFC Pharmacy #824Certificate of Waiver, Pharmacy50D2350588
- Safeway Pharmacy 0555Certificate of Waiver, Pharmacy50D2053401
- Sammamish Senior Living Afh LLCCertificate of Waiver, Other50D2318394
Related
Questions
What is the CLIA number for Overlake Medical Clinic Sammamish in Sammamish?
50D2140342, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Overlake Medical Clinic Sammamish hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D2140342 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect March 13, 2023.