Provider directory
CLIA 50D2292515: Liberty Lake Direct Primary Care, PLLC
Liberty Lake, WA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 50D2292515 belongs to Liberty Lake Direct Primary Care, PLLC in Liberty Lake, WA.
Certificate of Waiver, effective October 26, 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 Waiver
- Certificate effective
- October 26, 2023
- Certificate expiration
- April 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 26, 2023
- Facility type
- Physician office
- 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
- 50D2292515
- Lab name
- Liberty Lake Direct Primary Care, PLLC
- Address
- 2207 N Molter Rd Ste 203, Liberty Lake, WA 99019
- Phone
- (509) 348-2214
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 Liberty Lake, WA
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- Evergreen DermatopathologyCertificate of Compliance, Independent50D2281860
- GentivaCertificate of Waiver, Hospice50D2162621
- Guardian Angel HomesCertificate of Waiver, Assisted living facility50D2215076
- 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 Liberty Lake Direct Primary Care, PLLC in Liberty Lake?
50D2292515, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Liberty Lake Direct Primary Care, PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 50D2292515 expire?
The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect October 26, 2023.