CLIA lab
CLIA 50D2147949: Costco Pharmacy # 1278
Bonney Lake, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2147949 belongs to Costco Pharmacy # 1278 in Bonney Lake, WA.
Certificate of Waiver, effective May 1, 2018, 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
- May 1, 2018
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 1, 2018
- Facility type
- Pharmacy
- 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
- 50D2147949
- Lab name
- Costco Pharmacy # 1278
- Address
- 9801 204th Ave E, Bonney Lake, WA 98391
- Phone
- (253) 750-8130
- Fax
- (425) 313-6922
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 Costco Pharmacy # 1278 in Bonney Lake?
50D2147949, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Costco Pharmacy # 1278 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D2147949 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect May 1, 2018.