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CLIA 50D2071135: Providence Valley Young People's Clinic

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

CLIA number 50D2071135 belongs to Providence Valley Young People's Clinic in Liberty Lake, WA.

Certificate of Waiver, effective January 3, 2014, 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
January 3, 2014
Certificate expiration
April 4, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 3, 2014
Facility type
Other
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
50D2071135
Lab name
Providence Valley Young People's Clinic
Additional name
Liberty Lake
Address
23813 E Appleway Ave, Liberty Lake, WA 99019
Phone
(509) 343-2584
Fax
(509) 343-2585

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 Liberty Lake, WA

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Questions

What is the CLIA number for Providence Valley Young People's Clinic in Liberty Lake?
50D2071135, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Valley Young People's Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D2071135 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect January 3, 2014.

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