CLIA lab

CLIA 50D2215612: Heritage House Buckley

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

CLIA number 50D2215612 belongs to Heritage House Buckley in Buckley, WA.

Certificate of Waiver, effective March 4, 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
March 4, 2021
Certificate expiration
April 4, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 4, 2021
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
50D2215612
Lab name
Heritage House Buckley
Address
28833 State Route 410 E, Buckley, WA 98321
Phone
(360) 829-5292
Fax
(360) 829-3764

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.

Other labs in Buckley, WA

Related

Questions

What is the CLIA number for Heritage House Buckley in Buckley?

50D2215612, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Heritage House Buckley hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 50D2215612 expire?

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

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