CLIA lab
CLIA 50D2032821: Ip Othello 1
Othello, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2032821 belongs to Ip Othello 1 in Othello, WA.
Certificate of Compliance, effective November 16, 2011, 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 Compliance
- Certificate effective
- November 16, 2011
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 16, 2011
- Facility type
- Independent
- 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
- 50D2032821
- Lab name
- Ip Othello 1
- Address
- 1515 E Columbia St, Othello, WA 99344
- Phone
- (509) 488-5256
- Fax
- (509) 488-3116
Annual test volume the lab reported
- Waived tests
- 1,000
- Other nonwaived tests
- 267,463
- Total
- 268,463
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Othello, WA
- Anovaworks at Zirkle OthelloCertificate of Waiver, Community clinic50D2294647
- Coventry House Assisted LivingCertificate of Waiver, Assisted living facility50D2254365
- FMC Leah Layne DialysisCertificate of Waiver, Blood bank50D1098479
- La Country Care Adult Family HomeCertificate of Waiver, Other50D2318124
- Othello ClinicCertificate of Waiver, Community clinic50D0066222
- Othello Community Hospital LaboratoryCertificate of Compliance, Hospital50D0640016
- Othello Post AcuteCertificate of Waiver, Skilled nursing or nursing facility50D0718117
- Othello School DistrictCertificate of Waiver, School or student health service50D2245311
- Othello Senior Care LLCCertificate of Waiver, Other50D2321761
- Serenity Adult Family Home, LLCCertificate of Waiver, Other50D2313865
Related
Questions
What is the CLIA number for Ip Othello 1 in Othello?
50D2032821, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ip Othello 1 hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 50D2032821 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect November 16, 2011.