CLIA lab
CLIA 50D2312171: Costco Pharmacy #1703
Ridgefield, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2312171 belongs to Costco Pharmacy #1703 in Ridgefield, WA.
Certificate of Waiver, effective October 4, 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 4, 2024
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 4, 2024
- Facility type
- Pharmacy
- 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
- 50D2312171
- Lab name
- Costco Pharmacy #1703
- Address
- 519 N 56th Pl Bldg A, Ridgefield, WA 98642
- Phone
- (360) 727-8409
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 Ridgefield, WA
- Christina's Place LLCCertificate of Waiver, Other50D2304572
- Clear Trace Diagnostics, LLCCertificate of Waiver, Mobile lab50D2341806
- Dorina's Afh Care, LLCCertificate of Waiver, Other50D2275910
- Legacy Medical GroupCertificate of Waiver, Physician office50D2339325
- Prairie ElectricCertificate of Waiver, Other50D2168442
- Regency Park Afh LLCCertificate of Waiver, Other50D2302276
- Ridgefield Family MedicineCertificate for Provider-Performed Microscopy Procedures, Physician office50D1047835
- Ridgefield School DisrictCertificate of Waiver, School or student health service50D2231785
- Tender Loving Care AfhCertificate of Waiver, Other50D2347365
- The Recovery Village RidgefieldCertificate of Waiver, Other50D2110689
Related
Questions
What is the CLIA number for Costco Pharmacy #1703 in Ridgefield?
50D2312171, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Costco Pharmacy #1703 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D2312171 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect October 4, 2024.