CLIA lab

CLIA 50D2300954: Addis Care Adult Family Home LLC

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

CLIA number 50D2300954 belongs to Addis Care Adult Family Home LLC in Lynnwood, WA.

Certificate of Waiver, effective March 19, 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
March 19, 2024
Certificate expiration
April 4, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 19, 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
50D2300954
Lab name
Addis Care Adult Family Home LLC
Address
14721 47th Ave W, Lynnwood, WA 98087
Phone
(206) 307-2458
Fax
(425) 582-0240

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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Questions

What is the CLIA number for Addis Care Adult Family Home LLC in Lynnwood?

50D2300954, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Addis Care Adult Family Home LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 50D2300954 expire?

The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect March 19, 2024.

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