CLIA lab

CLIA 50D0882361: Washington State Penitentiary Hosp Lab

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

CLIA number 50D0882361 belongs to Washington State Penitentiary Hosp Lab in Walla Walla, WA.

Certificate of Waiver, effective October 5, 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

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
October 5, 2005
Certificate expiration
April 4, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 1, 1994
Facility type
Other
Ownership (control type)
Unknown
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
50D0882361
Lab name
Washington State Penitentiary Hosp Lab
Address
1313 N 13th Ave, Walla Walla, WA 99362
Phone
(509) 525-3610
Fax
(509) 526-6421

Other labs in Walla Walla, WA

Related

Questions

What is the CLIA number for Washington State Penitentiary Hosp Lab in Walla Walla?

50D0882361, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Washington State Penitentiary Hosp Lab hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 50D0882361 expire?

The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect October 5, 2005.

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