CLIA lab

CLIA 50D2303200: 1st Triple Stars Afh

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

CLIA number 50D2303200 belongs to 1st Triple Stars Afh in Lynnwood, WA.

Certificate of Waiver, effective April 22, 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
April 22, 2024
Certificate expiration
April 4, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 22, 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
50D2303200
Lab name
1st Triple Stars Afh
Address
17504 52nd Ave W, Lynnwood, WA 98037
Phone
(425) 967-7354

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 1st Triple Stars Afh in Lynnwood?

50D2303200, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does 1st Triple Stars Afh hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 50D2303200 expire?

The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect April 22, 2024.

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