CLIA lab
CLIA 50D2321731: A House By the Lake Adult Family Home
Maple Valley, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2321731 belongs to A House By the Lake Adult Family Home in Maple Valley, WA.
Certificate of Waiver, effective April 8, 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
- April 8, 2025
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 8, 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
- 50D2321731
- Lab name
- A House By the Lake Adult Family Home
- Address
- 21848 SE 265th St, Maple Valley, WA 98038
- Phone
- (404) 513-4793
- Fax
- (425) 577-6527
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 Maple Valley, WA
- A Joyful PlaceCertificate of Waiver, Other50D2304344
- Abundant Hope Adult Family HomeCertificate of Waiver, Other50D2318393
- Bartell Drugs - Maple Valley #47Certificate of Waiver, Pharmacy50D2055633
- Bonaventure of Maple ValleyCertificate of Waiver, Assisted living facility50D2300090
- Fountain Court Senior LivingCertificate of Waiver, Assisted living facility50D2257125
- Fred Meyer Pharmacy #682Certificate of Waiver, Pharmacy50D2044144
- King David Care HomesCertificate of Waiver, Other50D2265512
- Maple Valley Urgent Care ClinicCertificate of Compliance, Other50D2201306
- Mary Immaculate Care Homes LLCCertificate of Waiver, Other50D2296254
- QFC Pharmacy 705-837Certificate of Waiver, Pharmacy50D2305001
Related
Questions
What is the CLIA number for A House By the Lake Adult Family Home in Maple Valley?
50D2321731, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does A House By the Lake Adult Family Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D2321731 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect April 8, 2025.