CLIA lab
CLIA 50D0637268: Willapa Medical Clinic
South Bend, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D0637268 belongs to Willapa Medical Clinic in South Bend, WA.
Certificate of Waiver, effective October 24, 2005, 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 of Waiver
- Certificate effective
- October 24, 2005
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 19, 1993
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 50D0637268
- Lab name
- Willapa Medical Clinic
- Address
- 826 Alder St, South Bend, WA 98586
- Phone
- (360) 875-5579
- Fax
- (360) 875-5235
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 South Bend, WA
- Aspen Correctional MedicineCertificate of Waiver, Other50D2326728
- Pacific County HHS DepartmentCertificate for Provider-Performed Microscopy Procedures, Other50D0671737
- Willapa Harbor HospitalCertificate of Waiver, Physician office50D1034133
- Willapa Harbor Hospital LaboratoryCertificate of Compliance, Hospital50D0637271
Related
Questions
What is the CLIA number for Willapa Medical Clinic in South Bend?
50D0637268, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Willapa Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D0637268 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect October 24, 2005.