CLIA lab
CLIA 50D0691211: Montesano Internal Medicine Clinic
Montesano, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D0691211 belongs to Montesano Internal Medicine Clinic in Montesano, 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
- March 17, 1993
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 50D0691211
- Lab name
- Montesano Internal Medicine Clinic
- Address
- 112 East Broadway, Montesano, WA 98563
- Phone
- (360) 249-4111
- Fax
- (360) 249-5220
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 Montesano, WA
- Grays Harbor County Sheriff's OfficeCertificate of Waiver, Prison50D2201131
- Groups Recover TogetherCertificate of Waiver, Community clinic50D2344073
- Gulke Manor Afh LLCCertificate of Waiver, Other50D2319007
- Hometown Family HealthCertificate of Waiver, Physician office50D2065866
- Montesano Health & RehabilitationCertificate of Waiver, Skilled nursing or nursing facility50D0945820
- Montesano School DistrictCertificate of Waiver, School or student health service50D2223481
- Sean R White MD PSCertificate of Waiver, Other50D2090635
- The Montesano ClinicCertificate of Waiver, Other50D2141969
Related
Questions
What is the CLIA number for Montesano Internal Medicine Clinic in Montesano?
50D0691211, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Montesano Internal Medicine Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 50D0691211 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect September 1, 1992.