CLIA lab
CLIA 50D0634584: Providence Medical Building Monroe
Monroe, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D0634584 belongs to Providence Medical Building Monroe in Monroe, WA.
Certificate for Provider-Performed Microscopy Procedures, effective August 24, 2006, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- August 24, 2006
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 31, 1992
- Facility type
- Physician office
- 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
- 50D0634584
- Lab name
- Providence Medical Building Monroe
- Address
- 19200 N Kelsey St, Monroe, WA 98272
- Phone
- (360) 805-4711
- Fax
- (360) 805-4773
Annual test volume the lab reported
- Waived tests
- 3,141
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Monroe, WA
- Adkinson Estates AfhCertificate of Waiver, Other50D2296591
- Ascend Primary CareCertificate of Waiver, Community clinic50D2329845
- Brookdale Monroe Assisted Living FacilityCertificate of Waiver, Assisted living facility50D2055866
- Christy Tender Care Afh LLCCertificate of Waiver, Other50D2312086
- Evergreen Health MonroeCertificate of Compliance, Hospital50D0690275
- Evergreen Health Urgent Care, MonroeCertificate of Waiver, Physician office50D2257803
- Evergreenhealth Primary Care, MonroeCertificate of Waiver, Physician office50D2257159
- Fairfax Behavioral Health MonroeCertificate of Waiver, Hospital50D2102737
- Fred Meyer Pharmacy #210Certificate of Waiver, Pharmacy50D0965106
- Monroe Correctional ComplexCertificate for Provider-Performed Microscopy Procedures, Prison50D0882362
Related
Questions
What is the CLIA number for Providence Medical Building Monroe in Monroe?
50D0634584, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Medical Building Monroe hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 50D0634584 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect August 24, 2006.