CLIA lab

CLIA 50D2309882: Potters Country Home

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

CLIA number 50D2309882 belongs to Potters Country Home in Chehalis, WA.

Certificate of Waiver, effective August 22, 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
August 22, 2024
Certificate expiration
April 4, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 22, 2024
Facility type
Other
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
50D2309882
Lab name
Potters Country Home
Address
250 Katula Rd, Chehalis, WA 98532
Phone
(360) 291-0551
Fax
(360) 219-1549

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 Chehalis, WA

Related

Questions

What is the CLIA number for Potters Country Home in Chehalis?

50D2309882, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Potters Country Home hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 50D2309882 expire?

The CMS file lists April 4, 2028 as the certificate expiration date; the certificate took effect August 22, 2024.

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