CLIA lab
CLIA 50D2284950: 13051 US Hwy 12 Ste 2
Packwood, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2284950 belongs to 13051 US Hwy 12 Ste 2 in Packwood, WA.
Certificate of Waiver, effective June 30, 2023, 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
- June 30, 2023
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 30, 2023
- Facility type
- Rural health clinic
- 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
- 50D2284950
- Lab name
- 13051 US Hwy 12 Ste 2
- Address
- 13051 US Hwy 12 Ste 2, Packwood, WA 98361
- Phone
- (360) 496-3777
- Fax
- (360) 496-3522
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 13051 US Hwy 12 Ste 2 in Packwood?
50D2284950, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does 13051 US Hwy 12 Ste 2 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D2284950 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect June 30, 2023.