CLIA lab

CLIA 50D2029352: Providence Family Medicine Chewelah

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

CLIA number 50D2029352 belongs to Providence Family Medicine Chewelah in Chewelah, WA.

Certificate of Waiver, effective April 21, 2023, 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
April 21, 2023
Certificate expiration
April 4, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 7, 2011
Facility type
Community clinic
Ownership (control type)
Proprietary
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
50D2029352
Lab name
Providence Family Medicine Chewelah
Address
100 W South Ave, Chewelah, WA 99109
Phone
(509) 935-8111

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 Chewelah, WA

Related

Questions

What is the CLIA number for Providence Family Medicine Chewelah in Chewelah?

50D2029352, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Providence Family Medicine Chewelah hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 50D2029352 expire?

The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect April 21, 2023.

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