CLIA lab

CLIA 50D0638836: Providence Northeast Washington Medical Group

Kettle Falls, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 50D0638836 belongs to Providence Northeast Washington Medical Group in Kettle Falls, WA.

Certificate for Provider-Performed Microscopy Procedures, effective September 1, 1992, 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 Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate for Provider-Performed Microscopy Procedures
Certificate effective
September 1, 1992
Certificate expiration
April 4, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 11, 1993
Facility type
Other
Ownership (control type)
Proprietary
Lab classification
CLIA exempt laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
50D0638836
Lab name
Providence Northeast Washington Medical Group
Additional name
Kettle Falls
Address
840 S Meyers St, Kettle Falls, WA 99141
Phone
(509) 685-7848
Fax
(509) 738-4180

Annual test volume the lab reported

Waived tests
1,000
Provider-performed microscopy tests
500
Total
1,500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Kettle Falls, WA

Related

Questions

What is the CLIA number for Providence Northeast Washington Medical Group in Kettle Falls?

50D0638836, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Providence Northeast Washington Medical Group hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 50D0638836 expire?

The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect September 1, 1992.

Try it on your own data today.

Free to start. Most teams are using it the same day.