CLIA lab
CLIA 50D2329539: Principal Health Clinic
Bonney Lake, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2329539 belongs to Principal Health Clinic in Bonney Lake, WA.
Certificate of Waiver, effective August 29, 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
- August 29, 2025
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 29, 2025
- Facility type
- Community clinic
- 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
- 50D2329539
- Lab name
- Principal Health Clinic
- Address
- 21525 SR 410 E Ste A, Bonney Lake, WA 98391
- Phone
- (253) 499-6999
- Fax
- (888) 440-5188
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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- Bonney Lake Adult Family Home LLCCertificate of Waiver, Other50D2282128
- Bonney Lake Palace Afh LLCCertificate of Waiver, Other50D2326416
- Bonney Lake Prestige Adult Family HomeCertificate of Waiver, Other50D2282130
- Caring Arms ViCertificate of Waiver, Other50D2285613
- Cascade Eye and Skin Centers PCCertificate for Provider-Performed Microscopy Procedures, Physician office50D2326494
- Cedar Ridge Retirement and Assisted LivingCertificate of Waiver, Assisted living facility50D2254836
- Cherished Seniors at Bonney LakeCertificate of Waiver, Other50D2268379
Related
Questions
What is the CLIA number for Principal Health Clinic in Bonney Lake?
50D2329539, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Principal Health Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D2329539 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect August 29, 2025.