CLIA lab
CLIA 50D2254579: Evergreen Fountains LLC
Spokane Valley, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2254579 belongs to Evergreen Fountains LLC in Spokane Valley, WA.
Certificate of Waiver, effective March 4, 2022, 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
- March 4, 2022
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 4, 2022
- Facility type
- Assisted living facility
- 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
- 50D2254579
- Lab name
- Evergreen Fountains LLC
- Address
- 1201 N Evergreen Rd, Spokane Valley, WA 99216
- Phone
- (509) 922-3100
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 Evergreen Fountains LLC in Spokane Valley?
50D2254579, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Evergreen Fountains LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D2254579 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect March 4, 2022.