CLIA lab
CLIA 50D2318559: Lake Park Villa LLC Afh
Tumwater, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2318559 belongs to Lake Park Villa LLC Afh in Tumwater, WA.
Certificate of Waiver, effective February 12, 2025, 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
- February 12, 2025
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 12, 2025
- 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
- 50D2318559
- Lab name
- Lake Park Villa LLC Afh
- Address
- 1551 Lake Park Dr SW, Tumwater, WA 98512
- Phone
- (360) 357-4889
- Fax
- (360) 925-3125
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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- Abundant Life Adult Family Home Care LLCCertificate of Waiver, Other50D2351256
- Blessed Care Afh 2Certificate of Waiver, Other50D2305063
- Bright Star Care of South Puget SoundCertificate of Waiver, Home health agency50D2138557
- Camp Solomon SchechterCertificate of Waiver, Other50D2164811
- Capital Region Education Service District 113Certificate of Waiver, School or student health service50D2250808
- Costco Pharmacy #64Certificate of Waiver, Pharmacy50D1020223
- Doh Environmental Public Health SciencesCertificate of Waiver, Independent50D1083271
- Doh Office of EMS and Trauma ServicesCertificate of Waiver, Other50D0883040
- Eye Love OlympiaCertificate of Waiver, Physician office50D2188527
Related
Questions
What is the CLIA number for Lake Park Villa LLC Afh in Tumwater?
50D2318559, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake Park Villa LLC Afh hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D2318559 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect February 12, 2025.