CLIA lab
CLIA 50D2271692: Ly's Adult Family Home
Des Moines, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2271692 belongs to Ly's Adult Family Home in Des Moines, WA.
Certificate of Waiver, effective November 7, 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
- November 7, 2022
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 7, 2022
- Facility type
- Assisted living facility
- 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
- 50D2271692
- Lab name
- Ly's Adult Family Home
- Address
- 19265 Occidental Ave S, Des Moines, WA 98148
- Phone
- (206) 870-3466
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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- Adel Home Care LLCCertificate of Waiver, Other50D2313947
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Related
Questions
What is the CLIA number for Ly's Adult Family Home in Des Moines?
50D2271692, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ly's Adult Family Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D2271692 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect November 7, 2022.