CLIA lab
CLIA 50D2135345: Providence Medical Group
Walla Walla, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2135345 belongs to Providence Medical Group in Walla Walla, WA.
Certificate of Waiver, effective August 21, 2017, 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
- August 21, 2017
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 21, 2017
- Facility type
- Other
- 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
- 50D2135345
- Lab name
- Providence Medical Group
- Address
- 1111 S 2nd Ave, Walla Walla, WA 99362
- Phone
- (509) 897-2222
- Fax
- (509) 897-5724
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.
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Related
Questions
What is the CLIA number for Providence Medical Group in Walla Walla?
50D2135345, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D2135345 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect August 21, 2017.