CLIA lab
CLIA 50D2199478: Lake Tapps Dialysis
Sumner, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2199478 belongs to Lake Tapps Dialysis in Sumner, WA.
Certificate of Waiver, effective November 9, 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
- November 9, 2020
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 9, 2020
- Facility type
- End stage renal disease dialysis 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
- 50D2199478
- Lab name
- Lake Tapps Dialysis
- Address
- 16290 Auto Ln, Sumner, WA 98390
- Phone
- (253) 470-0188
- Fax
- (253) 470-0215
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.
Care facility at this address
- DaVita Lake Tapps DialysisCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Lake Tapps Dialysis in Sumner?
50D2199478, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake Tapps Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D2199478 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect November 9, 2020.