CLIA lab
CLIA 50D2261522: Angelic Manor LLC
Kent, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2261522 belongs to Angelic Manor LLC in Kent, WA.
Certificate of Waiver, effective June 1, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- June 1, 2022
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 1, 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
- 50D2261522
- Lab name
- Angelic Manor LLC
- Address
- 20201 108th Ave SE, Kent, WA 98031
- Phone
- (253) 243-7947
- Fax
- (253) 246-7058
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 Kent, WA
- 104th Avenue Medical Clinic IncCertificate of Waiver, Physician office50D0976109
- 1st Hope CareCertificate of Waiver, Other50D2259795
- 1st Loving Place Afh LLCCertificate of Waiver, Other50D2275846
- 360 Responder Health Medical and SafetyCertificate of Waiver, Physician office50D2348812
- 3DS Care Home LLCCertificate of Waiver, Other50D2322484
- Aa Suite Adult Family HomeCertificate of Waiver, Other50D2332915
- Aavan's Afh LLCCertificate of Waiver, Other50D2329514
- Aavas Care Home LLCCertificate of Waiver, Other50D2322014
- Absolute Tender Care LLCCertificate of Waiver, Other50D2260283
- Acacia Garden AfhCertificate of Waiver, Other50D2338635
Related
Questions
What is the CLIA number for Angelic Manor LLC in Kent?
50D2261522, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Angelic Manor LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D2261522 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect June 1, 2022.