CLIA lab

CLIA 50D1028029: Providence Northeast Washington Medical Group

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

CLIA number 50D1028029 belongs to Providence Northeast Washington Medical Group in Colville, WA.

Certificate of Waiver, effective September 13, 2022, 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 13, 2022
Certificate expiration
April 4, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 19, 2004
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
50D1028029
Lab name
Providence Northeast Washington Medical Group
Additional name
Garden Homes
Address
143 Garden Homes Dr, Colville, WA 99114
Phone
(509) 684-7720
Fax
(509) 685-1367

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 Colville, WA

Related

Questions

What is the CLIA number for Providence Northeast Washington Medical Group in Colville?

50D1028029, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Providence Northeast Washington Medical Group hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 50D1028029 expire?

The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect September 13, 2022.

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