CLIA lab

CLIA 50D2197108: Evergreen Estates

Clarkston, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 50D2197108 belongs to Evergreen Estates in Clarkston, WA.

Certificate of Waiver, effective October 21, 2020, 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
October 21, 2020
Certificate expiration
April 4, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 21, 2020
Facility type
Assisted living facility
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
50D2197108
Lab name
Evergreen Estates
Address
115 Evergren Ct, Clarkston, WA 99403
Phone
(509) 758-5260
Fax
(509) 758-1992

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 Evergreen Estates in Clarkston?

50D2197108, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Evergreen Estates hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 50D2197108 expire?

The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect October 21, 2020.

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