CLIA lab

CLIA 50D2154005: Clallam Bay Medical Clinic

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

CLIA number 50D2154005 belongs to Clallam Bay Medical Clinic in Clallam Bay, WA.

Certificate of Waiver, effective September 4, 2018, 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
September 4, 2018
Certificate expiration
April 4, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 4, 2018
Facility type
Rural health clinic
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
50D2154005
Lab name
Clallam Bay Medical Clinic
Address
74 Bogachiel St, Clallam Bay, WA 98326
Phone
(360) 963-2202
Fax
(360) 963-2905

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 Clallam Bay, WA

Related

Questions

What is the CLIA number for Clallam Bay Medical Clinic in Clallam Bay?

50D2154005, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Clallam Bay Medical Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 50D2154005 expire?

The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect September 4, 2018.

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