CLIA lab
CLIA 50D2312097: Master Adult Family Home
Bothell, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2312097 belongs to Master Adult Family Home in Bothell, WA.
Certificate of Waiver, effective October 3, 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
- October 3, 2024
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 3, 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
- 50D2312097
- Lab name
- Master Adult Family Home
- Address
- 20425 13th Dr SE, Bothell, WA 98012
- Phone
- (425) 408-1167
- Fax
- (425) 408-0854
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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- 1st Jins Adult Family HomeCertificate of Waiver, Other50D2329649
- Alpha Supported Living ServicesCertificate of Waiver, Other50D2242866
- Alpha Supported Living ServicesCertificate of Waiver, Other50D2242867
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- Ashten Adult Family Home LLCCertificate of Waiver, Other50D2317471
- Bartell Drugs - Mill Creek #69Certificate of Waiver, Pharmacy50D2055531
Related
Questions
What is the CLIA number for Master Adult Family Home in Bothell?
50D2312097, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Master Adult Family Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D2312097 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect October 3, 2024.