CLIA lab
CLIA 50D2291624: Willow Glen Adult Family Home
Pacific, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2291624 belongs to Willow Glen Adult Family Home in Pacific, WA.
Certificate of Waiver, effective October 12, 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
- October 12, 2023
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 12, 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
- 50D2291624
- Lab name
- Willow Glen Adult Family Home
- Address
- 110 Cedar Ln, Pacific, WA 98047
- Phone
- (253) 929-6894
- Fax
- (253) 929-6894
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 Pacific, WA
Related
Questions
What is the CLIA number for Willow Glen Adult Family Home in Pacific?
50D2291624, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Willow Glen Adult Family Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D2291624 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect October 12, 2023.