CLIA lab
CLIA 50D2296254: Mary Immaculate Care Homes LLC
Maple Valley, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2296254 belongs to Mary Immaculate Care Homes LLC in Maple Valley, WA.
Certificate of Waiver, effective December 22, 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 22, 2023
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 22, 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
- 50D2296254
- Lab name
- Mary Immaculate Care Homes LLC
- Address
- 21516 SE 258th St, Maple Valley, WA 98038
- Phone
- (425) 358-7042
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 Maple Valley, WA
- A House By the Lake Adult Family HomeCertificate of Waiver, Other50D2321731
- A Joyful PlaceCertificate of Waiver, Other50D2304344
- Abundant Hope Adult Family HomeCertificate of Waiver, Other50D2318393
- Bartell Drugs - Maple Valley #47Certificate of Waiver, Pharmacy50D2055633
- Bonaventure of Maple ValleyCertificate of Waiver, Assisted living facility50D2300090
- Fountain Court Senior LivingCertificate of Waiver, Assisted living facility50D2257125
- Fred Meyer Pharmacy #682Certificate of Waiver, Pharmacy50D2044144
- King David Care HomesCertificate of Waiver, Other50D2265512
- Maple Valley Urgent Care ClinicCertificate of Compliance, Other50D2201306
- QFC Pharmacy 705-837Certificate of Waiver, Pharmacy50D2305001
Related
Questions
What is the CLIA number for Mary Immaculate Care Homes LLC in Maple Valley?
50D2296254, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mary Immaculate Care Homes LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D2296254 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect December 22, 2023.