CLIA lab
CLIA 50D2272628: Pine Lake Afh Inc
Sammamish, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2272628 belongs to Pine Lake Afh Inc in Sammamish, WA.
Certificate of Waiver, effective November 23, 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 23, 2022
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 23, 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
- 50D2272628
- Lab name
- Pine Lake Afh Inc
- Address
- 3407 228th Ave SE, Sammamish, WA 98075
- Phone
- (425) 837-9961
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 Sammamish, WA
- Allegro PediatricsCertificate of Waiver, Physician office50D0957917
- Angelic Care AfhCertificate of Waiver, Other50D2302317
- CVS Pharmacy #11680Certificate of Waiver, Pharmacy50D2328221
- Grace at Pine Afh LLCCertificate of Waiver, Other50D2337329
- Lucas AfhCertificate of Waiver, Other50D2335998
- Overlake Medical Clinic SammamishCertificate of Waiver, Physician office50D2140342
- Premier Gentle CareCertificate of Waiver, Other50D2295296
- QFC Pharmacy #824Certificate of Waiver, Pharmacy50D2350588
- Safeway Pharmacy 0555Certificate of Waiver, Pharmacy50D2053401
- Sammamish Senior Living Afh LLCCertificate of Waiver, Other50D2318394
Related
Questions
What is the CLIA number for Pine Lake Afh Inc in Sammamish?
50D2272628, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pine Lake Afh Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D2272628 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect November 23, 2022.