CLIA lab
CLIA 50D2295604: Citrine Palace Adult Family Home LLC
Lakewood, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2295604 belongs to Citrine Palace Adult Family Home LLC in Lakewood, WA.
Certificate of Waiver, effective December 13, 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
- December 13, 2023
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 13, 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
- 50D2295604
- Lab name
- Citrine Palace Adult Family Home LLC
- Address
- 7014 Citrine Ln SW, Lakewood, WA 98498
- Phone
- (253) 300-7178
- Fax
- (253) 212-1207
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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Related
Questions
What is the CLIA number for Citrine Palace Adult Family Home LLC in Lakewood?
50D2295604, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Citrine Palace Adult Family Home LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D2295604 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect December 13, 2023.