CLIA lab
CLIA 50D2158883: Providence Medical Group Occupational Health
Walla Walla, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2158883 belongs to Providence Medical Group Occupational Health in Walla Walla, WA.
Certificate of Waiver, effective September 19, 2024, 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 19, 2024
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 7, 2018
- Facility type
- Mobile lab
- 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
- 50D2158883
- Lab name
- Providence Medical Group Occupational Health
- Address
- 1017 S 2nd Ave Ste 2, Walla Walla, WA 99362
- Phone
- (509) 897-3050
- Fax
- (509) 897-5899
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 Occupational Health in Walla Walla?
50D2158883, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Medical Group Occupational Health hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D2158883 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect September 19, 2024.