CLIA lab
CLIA 50D1081162: Legacy Medical Group - Camas
Camas, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D1081162 belongs to Legacy Medical Group - Camas in Camas, WA.
Certificate for Provider-Performed Microscopy Procedures, effective March 11, 2008, 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
- March 11, 2008
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 11, 2008
- 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
- 50D1081162
- Lab name
- Legacy Medical Group - Camas
- Address
- 1625 SE 192nd Ave Ste 100, Camas, WA 98607
- Phone
- (360) 566-4840
- Fax
- (360) 566-4841
Annual test volume the lab reported
- Provider-performed microscopy tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Carulli, Nicholas, F, MDCertificate for Provider-Performed Microscopy Procedures, Physician office50D0960274
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- Prune Hill RecoveryCertificate of Waiver, Other50D2295294
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Related
Questions
What is the CLIA number for Legacy Medical Group - Camas in Camas?
50D1081162, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Legacy Medical Group - Camas hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 50D1081162 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect March 11, 2008.