CLIA lab
CLIA 50D1099333: Lake Roosevelt Community Health Centers
Keller, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D1099333 belongs to Lake Roosevelt Community Health Centers in Keller, WA.
Certificate of Waiver, effective May 12, 2009, 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
- May 12, 2009
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 12, 2009
- Facility type
- Ambulatory surgery center
- 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
- 50D1099333
- Lab name
- Lake Roosevelt Community Health Centers
- Additional name
- San Poil Valley Community Health Center
- Address
- 11665 Hwy 21, Keller, WA 99140
- Phone
- (509) 634-7300
- Fax
- (509) 634-7301
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 Keller, WA
Related
Questions
What is the CLIA number for Lake Roosevelt Community Health Centers in Keller?
50D1099333, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake Roosevelt Community Health Centers hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D1099333 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect May 12, 2009.