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CLIA 50D2281860: Evergreen Dermatopathology
Liberty Lake, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2281860 belongs to Evergreen Dermatopathology in Liberty Lake, WA.
Certificate of Compliance, effective May 12, 2023, 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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Map the testsCertificate
- Certificate type
- Certificate of Compliance
- Certificate effective
- May 12, 2023
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 12, 2023
- Facility type
- Independent
- 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
- 50D2281860
- Lab name
- Evergreen Dermatopathology
- Address
- 2110 N Molter Rd Ste 112, Liberty Lake, WA 99019
- Phone
- (208) 277-9704
Annual test volume the lab reported
- Other nonwaived tests
- 45,509
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Liberty Lake, WA
- Baker Direct Primary CareCertificate of Waiver, Physician office50D2257134
- Clinic 5CCertificate of Waiver, Physician office50D2268146
- GentivaCertificate of Waiver, Hospice50D2162621
- Guardian Angel HomesCertificate of Waiver, Assisted living facility50D2215076
- Liberty Lake Direct Primary Care, PLLCCertificate of Waiver, Physician office50D2292515
- Modern Care DPCCertificate of Waiver, Physician office50D2329843
- Providence Valley Young People's ClinicCertificate of Waiver, Other50D2071135
- Safeway Pharmacy #2248Certificate of Waiver, Pharmacy50D1034866
- Walgreens #10788Certificate of Waiver, Pharmacy50D2043125
Related
Questions
What is the CLIA number for Evergreen Dermatopathology in Liberty Lake?
50D2281860, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Evergreen Dermatopathology hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 50D2281860 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect May 12, 2023.