CLIA lab

CLIA 50D2210958: Index Elementary School District #63

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

CLIA number 50D2210958 belongs to Index Elementary School District #63 in Index, WA.

Certificate of Waiver, effective January 25, 2021, 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
January 25, 2021
Certificate expiration
April 4, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 25, 2021
Facility type
School or student health service
Ownership (control type)
Government, state
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
50D2210958
Lab name
Index Elementary School District #63
Address
436 Index Ave, Index, WA 98256
Phone
(360) 793-1330
Fax
(360) 793-2835

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.

Related

Questions

What is the CLIA number for Index Elementary School District #63 in Index?

50D2210958, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Index Elementary School District #63 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 50D2210958 expire?

The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect January 25, 2021.

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