CLIA lab
CLIA 50D2316119: Bountiful Grace Afh LLC
Marysville, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2316119 belongs to Bountiful Grace Afh LLC in Marysville, WA.
Certificate of Waiver, effective December 27, 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 27, 2024
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 27, 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
- 50D2316119
- Lab name
- Bountiful Grace Afh LLC
- Address
- 6419 88th St NE Apt B, Marysville, WA 98270
- Phone
- (360) 547-9334
- Fax
- (360) 363-4141
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 Bountiful Grace Afh LLC in Marysville?
50D2316119, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bountiful Grace Afh LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D2316119 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect December 27, 2024.