CLIA lab
CLIA 50D0671737: Pacific County HHS Department
South Bend, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D0671737 belongs to Pacific County HHS Department in South Bend, 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
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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
- December 23, 1992
- Facility type
- Other
- Ownership (control type)
- Government, county
- 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
- 50D0671737
- Lab name
- Pacific County HHS Department
- Address
- 1216 W Robert Bush Dr, South Bend, WA 98586
- Phone
- (360) 875-9343
- Fax
- (360) 875-9323
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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Related
Questions
What is the CLIA number for Pacific County HHS Department in South Bend?
50D0671737, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pacific County HHS Department hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 50D0671737 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect September 1, 1992.