CLIA lab
CLIA 50D2254875: Evergreen Health Primary Care, Canyon Park
Bothell, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2254875 belongs to Evergreen Health Primary Care, Canyon Park in Bothell, WA.
Certificate of Waiver, effective September 17, 2025, 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
- September 17, 2025
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 8, 2022
- Facility type
- Physician office
- Ownership (control type)
- Government, county
- 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
- 50D2254875
- Lab name
- Evergreen Health Primary Care, Canyon Park
- Address
- 1909 214th St SE Ste 100, Bothell, WA 98021
- Phone
- (425) 488-4988
- Fax
- (425) 488-4993
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 Health Primary Care, Canyon Park in Bothell?
50D2254875, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Evergreen Health Primary Care, Canyon Park hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D2254875 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect September 17, 2025.