CLIA lab
CLIA 50D2197816: Lighthouse Infusions & Seattle Ketamine
Kenmore, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2197816 belongs to Lighthouse Infusions & Seattle Ketamine in Kenmore, WA.
Certificate of Waiver, effective October 27, 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 27, 2020
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 27, 2020
- Facility type
- Other
- 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
- 50D2197816
- Lab name
- Lighthouse Infusions & Seattle Ketamine
- Address
- 5701 NE Bothell Way Ste 4, Kenmore, WA 98028
- Phone
- (425) 835-2363
- Fax
- (425) 368-7634
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 Lighthouse Infusions & Seattle Ketamine in Kenmore?
50D2197816, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lighthouse Infusions & Seattle Ketamine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D2197816 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect October 27, 2020.