CLIA lab

CLIA 50D2290618: Adult Family Home in Lake Stevens LLC

Lake Stevens, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 50D2290618 belongs to Adult Family Home in Lake Stevens LLC in Lake Stevens, WA.

Certificate of Waiver, effective September 27, 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
September 27, 2023
Certificate expiration
April 4, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 27, 2023
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
50D2290618
Lab name
Adult Family Home in Lake Stevens LLC
Address
8118 Soper Hill Rd, Lake Stevens, WA 98258
Phone
(425) 346-8550
Fax
(360) 287-6612

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 Lake Stevens, WA

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Questions

What is the CLIA number for Adult Family Home in Lake Stevens LLC in Lake Stevens?

50D2290618, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Adult Family Home in Lake Stevens LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 50D2290618 expire?

The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect September 27, 2023.

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