CLIA lab
CLIA 50D2259962: Vinyard Haven Adult Family Home
Custer, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2259962 belongs to Vinyard Haven Adult Family Home in Custer, WA.
Certificate of Waiver, effective May 12, 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 12, 2022
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 12, 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
- 50D2259962
- Lab name
- Vinyard Haven Adult Family Home
- Address
- 8285 Custer School Rd, Custer, WA 98240
- Phone
- (360) 223-6208
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 Vinyard Haven Adult Family Home in Custer?
50D2259962, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vinyard Haven Adult Family Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D2259962 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect May 12, 2022.