CLIA lab
CLIA 50D2254882: Evergreen Health Primary Care - Sultan
Sultan, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2254882 belongs to Evergreen Health Primary Care - Sultan in Sultan, WA.
Certificate of Waiver, effective March 8, 2022, 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 8, 2022
- 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
- 50D2254882
- Lab name
- Evergreen Health Primary Care - Sultan
- Address
- 30207 US 2, Sultan, WA 98294
- Phone
- (360) 793-0201
- Fax
- (360) 793-2429
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 - Sultan in Sultan?
50D2254882, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Evergreen Health Primary Care - Sultan hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D2254882 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect March 8, 2022.