CLIA lab
CLIA 50D0705641: Coulee Family Medicine
Grand Coulee, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D0705641 belongs to Coulee Family Medicine in Grand Coulee, WA.
Certificate of Waiver, 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 of Waiver
- Certificate effective
- September 1, 1992
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 15, 1993
- Facility type
- Community clinic
- Ownership (control type)
- Government, other
- 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
- 50D0705641
- Lab name
- Coulee Family Medicine
- Address
- 411 Fortuyn Rd, Grand Coulee, WA 99133
- Phone
- (509) 633-1911
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Grand Coulee, WA
Related
Questions
What is the CLIA number for Coulee Family Medicine in Grand Coulee?
50D0705641, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Coulee Family Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D0705641 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect September 1, 1992.