CLIA lab

CLIA 50D2315028: Bon Adult Family Home at Mill Creek LLC

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

CLIA number 50D2315028 belongs to Bon Adult Family Home at Mill Creek LLC in Mill Creek, WA.

Certificate of Waiver, effective December 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
December 4, 2024
Certificate expiration
April 4, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
December 4, 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
50D2315028
Lab name
Bon Adult Family Home at Mill Creek LLC
Address
13212 30th Dr SE, Mill Creek, WA 98012
Phone
(425) 948-7152
Fax
(425) 225-6265

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 Mill Creek, WA

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Questions

What is the CLIA number for Bon Adult Family Home at Mill Creek LLC in Mill Creek?

50D2315028, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Bon Adult Family Home at Mill Creek LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 50D2315028 expire?

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

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