CLIA lab

CLIA 50D2163831: Tri-State Family Practice and Internal Medicine

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

CLIA number 50D2163831 belongs to Tri-State Family Practice and Internal Medicine in Clarkston, WA.

Certificate for Provider-Performed Microscopy Procedures, effective January 15, 2021, 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate for Provider-Performed Microscopy Procedures
Certificate effective
January 15, 2021
Certificate expiration
April 4, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 21, 2019
Facility type
Physician office
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
50D2163831
Lab name
Tri-State Family Practice and Internal Medicine
Address
1119 Highland Ave Ste 10, Clarkston, WA 99403
Phone
(509) 758-1450
Fax
(509) 751-1504

Annual test volume the lab reported

Waived tests
1,000
Provider-performed microscopy tests
500
Total
1,500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Clarkston, WA

Related

Questions

What is the CLIA number for Tri-State Family Practice and Internal Medicine in Clarkston?

50D2163831, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Tri-State Family Practice and Internal Medicine hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 50D2163831 expire?

The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect January 15, 2021.

Try it on your own data today.

Free to start. Most teams are using it the same day.