CLIA lab
CLIA 50D0968641: Fort Simcoe Job Corps
White Swan, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D0968641 belongs to Fort Simcoe Job Corps in White Swan, WA.
Certificate of Waiver, effective October 27, 2020, 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 RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- October 27, 2020
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 17, 1999
- Facility type
- School or student health service
- 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
- 50D0968641
- Lab name
- Fort Simcoe Job Corps
- Address
- 40 Abella Lane, White Swan, WA 98952
- Phone
- (509) 874-8900
- Fax
- (509) 874-8992
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.
Other labs in White Swan, WA
Related
Questions
What is the CLIA number for Fort Simcoe Job Corps in White Swan?
50D0968641, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fort Simcoe Job Corps hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D0968641 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect October 27, 2020.