CLIA lab
CLIA 50D2296566: Pavel's Adult Family Home LLC
Brush Prairie, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2296566 belongs to Pavel's Adult Family Home LLC in Brush Prairie, WA.
Certificate of Waiver, effective January 2, 2024, 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
- January 2, 2024
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 2, 2024
- 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
- 50D2296566
- Lab name
- Pavel's Adult Family Home LLC
- Address
- 17904 NE 119th St, Brush Prairie, WA 98606
- Phone
- (360) 896-0273
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 Brush Prairie, WA
- Acreage Afh LLCCertificate of Waiver, Other50D2316317
- Aquila Adult Care HomeCertificate of Waiver, Other50D2298599
- Battle Ground Public SchoolsCertificate of Waiver, School or student health service50D2237407
- Bright Care Adult Family HomeCertificate of Waiver, Other50D2319015
- Care at the Cedars Adult Family HomeCertificate of Waiver, Other50D2337787
- Cedars View Senior Care, LLCCertificate of Waiver, Other50D2317083
- Comfort Life LLCCertificate of Waiver, Other50D2305541
- Madrona Recovery WaCertificate of Waiver, Other50D2333177
- Prairie Vista Senior LivingCertificate of Waiver, Assisted living facility50D2263941
Related
Questions
What is the CLIA number for Pavel's Adult Family Home LLC in Brush Prairie?
50D2296566, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pavel's Adult Family Home LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D2296566 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect January 2, 2024.