CLIA lab
CLIA 50D2259699: Canyon Park Retreat Adult Family Home
Bothell, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2259699 belongs to Canyon Park Retreat Adult Family Home in Bothell, WA.
Certificate of Waiver, effective May 10, 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
- May 10, 2022
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 10, 2022
- Facility type
- Other
- 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
- 50D2259699
- Lab name
- Canyon Park Retreat Adult Family Home
- Address
- 1410 233rd Pl SE, Bothell, WA 98021
- Phone
- (425) 424-2255
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 Canyon Park Retreat Adult Family Home in Bothell?
50D2259699, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Canyon Park Retreat Adult Family Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D2259699 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect May 10, 2022.