CLIA lab
CLIA 50D2265593: Fountain of Life, LLC
Mukilteo, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2265593 belongs to Fountain of Life, LLC in Mukilteo, WA.
Certificate of Waiver, effective July 29, 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
- July 29, 2022
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 29, 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
- 50D2265593
- Lab name
- Fountain of Life, LLC
- Address
- 8906 44th Ave W, Mukilteo, WA 98275
- Phone
- (206) 734-2713
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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- Mukilteo Adult Family HomeCertificate of Waiver, Other50D2280368
- Mukilteo Green House LLCCertificate of Waiver, Other50D2287322
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Related
Questions
What is the CLIA number for Fountain of Life, LLC in Mukilteo?
50D2265593, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fountain of Life, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D2265593 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect July 29, 2022.