WaterVerge

Is Medical Lake, WA Tap Water Safe to Drink?

Graded B- — but Copper was detected above EPA limits. Here's what's in the water and how to remove it. What to do next ↓

6K residents served 4 water systems PWSID: WA5353400
Overall Score
72 / 100
Violations
8 active
Last Updated
May 2026
Source
Groundwater
#161 of 294 in Washington Top 67% nationally
Local Government
High data confidence
Reviewed by WaterVerge Editorial Team · Last updated May 2026
B-GRADE
Water Quality Grade
72/100
waterverge.com
B- 72/100

Medical Lake, WA — Water Quality Report

Medical Lake's drinking water received a grade of B- (72 out of 100), indicating fair water quality. The city's 4 water systems serve approximately 6,072 residents using groundwater.

Lead levels were measured at 1.1 ppb (90th percentile), well within EPA limits. UCMR 5 testing detected 3 PFAS compounds, with levels exceeding EPA maximum contaminant levels in the water supply.

The system has 111 violations on record, including 9 health-based violations. 8 remain unresolved.

Data last updated: May 2026 · Source: EPA SDWIS, UCMR 5
Analysis

What to know about Medical Lake's water

Medical Lake ranks #161 out of 294 cities in Washington for water quality, placing it below average in the state.

Medical Lake relies on groundwater, which is generally less vulnerable to surface contamination but can be affected by naturally occurring minerals like arsenic and nitrate, as well as agricultural and industrial runoff.

Of particular concern: PFAS "forever chemical" levels exceed the 2024 EPA maximum contaminant levels. These synthetic compounds don't break down naturally and require specialized filtration such as reverse osmosis or granular activated carbon.

Quality Breakdown

Water quality score

See methodology →
72 out of 100 Grade B-
A: 90-100
B: 74-89
C: 60-73
F: <50
How is this calculated?
Violations
33.2/45
C
Historical violation record including health-based and monitoring violations.
Lead & Copper
16/20
B
Lead at 1.1 ppb (90th percentile).
Contaminants
9.8/20
D
3 PFAS compounds detected.
Compliance
8/10
B
Monitoring and reporting compliance with EPA regulations.
Source Risk
5/5
A
Water source: Groundwater.
Water Safety

Is Medical Lake, WA water safe to drink?

Concerns Identified

Medical Lake's drinking water has significant quality concerns based on EPA testing data. With a grade of B- (72/100), the system has issues across multiple categories. A water filter is recommended for all residents. The city's 4 water systems serve approximately 6,072 residents using groundwater (wells).

8
Active Violations
1.1 ppb
Lead (90th %ile)
3 compounds
PFAS Detected
7 events
Disaster History

Recent water quality updates for Medical Lake

A timeline of significant water quality events, violations, and data updates.

PFAS
3 PFAS "forever chemical" compounds detected

PFAS levels exceed EPA maximum contaminant levels. Reverse osmosis or activated carbon filtration recommended.

Update
Water quality data updated

Latest EPA compliance and testing data incorporated into Medical Lake's water quality assessment. Grade: B- (72/100).

Violation
3 drinking water violations recorded

Contaminants: Nitrate, TTHM, Total Haloacetic Acids (HAA5).

Violation
20 drinking water violations recorded

Contaminants: 1,2,4-Trichlorobenzene, cis-1,2-Dichloroethylene, DICHLOROMETHANE.

Violation
2 drinking water violations recorded

Contaminants: Total Haloacetic Acids (HAA5), TTHM.

Disaster
SEVERE WINTER STORMS, FLOODING, LANDSLIDES, MUDSLIDES

Federal disaster declaration (FEMA DR-4309). Flood event — may have impacted local water infrastructure.

Key contaminant findings

Based on the most recent EPA sampling data for Medical Lake's water supply.

Lead Within Limits
Detected: 1.1 ppb Limit: 15 ppb (EPA Action Level)

Well within EPA limits.

Copper Exceeds Limit
Detected: 3.06 mg/L Limit: 1.3 mg/L (EPA Action Level)

Exceeds EPA action level. Copper can leach from household plumbing — flush taps for 30 seconds before drinking.

PFAS (3 compounds) Elevated
Detected: Highest: lithium at 13.3000 µg/L Limit: 0.004 µg/L (EPA MCL)

PFAS "forever chemicals" exceed EPA maximum contaminant levels. Reverse osmosis or granular activated carbon filtration strongly recommended.

PFAS "forever chemicals" detected

UCMR 5 testing found 3 PFAS compounds in Medical Lake's water supply. PFAS are synthetic chemicals that persist indefinitely in the environment and the human body.

Compound Level EPA MCL Status
lithium 13.3000 µg/L 0.004 µg/L Within Limit
PFHxS 0.0053 µg/L 0.004 µg/L Within Limit
PFOS 0.0044 µg/L 0.004 µg/L Over MCL

Violation history

Medical Lake's water system has 111 total violations on record, including 9 health-based violations. 8 remain unresolved. 3 violations were issued in the last 5 years.

MROtherMCL
Most recent violations:
Jan 2021 Nitrate Resolved
Jan 2021 TTHM Resolved
Jan 2021 Total Haloacetic Acids (HAA5) Resolved
Apr 2019 1,2,4-Trichlorobenzene Resolved
Apr 2019 cis-1,2-Dichloroethylene Resolved

Flood & environmental risk

Spokane County has experienced 7 federally declared disasters since 1964. Flooding and severe storms can overwhelm water treatment plants, cause sewage overflows, and introduce agricultural runoff, bacteria, and sediment into drinking water supplies.

SEVERE WINTER STORMS, FLOODING, LANDSLIDES, MUDSLIDES
Flood FEMA DR-4309
HURRICANE KATRINA EVACUATION
Coastal Storm FEMA DR-3227
HEAVY RAINS, SNOW MELT, FLOODING, LAND & MUD SLIDES
Flood FEMA DR-1172

Where does Medical Lake's water come from?

Medical Lake's drinking water comes from groundwater (wells), supplied by 4 water systems serving approximately 6,072 people. Groundwater is generally less susceptible to surface contamination but can contain naturally occurring contaminants like arsenic, radon, and nitrate.

What Medical Lake residents can do

Install a water filter

Recommended: Reverse osmosis system. This addresses the specific contaminants found in Medical Lake's water.

Request your utility's CCR

Your water utility is required to publish an annual Consumer Confidence Report (CCR) with detailed testing results. Ask for the latest copy or check your utility's website.

Monitor alerts during storms

Medical Lake's area has a history of flooding. After severe weather, watch for boil water advisories from your local utility.

Data: EPA SDWIS, UCMR 5 (PFAS), FEMA, NOAA. Last updated May 2026.

Contaminant Alerts

Top contaminants to know

View all ↓
Lead (90th percentile)
Inorganic / Heavy Metal
Safe
1.1 ppb
EPA Action Level: 15 ppb · 7% of limit
Safe Level
Copper (90th percentile)
Inorganic
Over Limit
3.06 mg/L
EPA Action Level: 1.3 mg/L · +20% over limit
Exceeds Limit
lithium
PFAS / Forever Chemical
Near MCL
13.3000 µg/L
EPA MCL: 0.004 µg/L · +20% over limit
Detected
Lithium
Inorganic
Detected
13.3 µg/L
State screening level: 60 µg/L · 22% of limit
DetectedNo federal MCLUCMR 5 Data (2023–2025)
PFAS Testing

Forever chemicals overview

National PFAS report →
30
Compounds tested
3
Detected
1
Exceed EPA MCL
1.10
Hazard Index
PFOS max: 0.0044 µg/L
Compliance Record

Violation summary

111
Total violations
9
Health-based
8
Active / unresolved
Jan 2021
Most recent violation
Compliance Record

Violations & advisories

111 Total
8 Active
9 Health-based
103 Resolved
4 SNC
Violations by category
Volatile Organic Chemicals
40
Inorganic Chemicals
29
Total Coliform Rule
16
Nitrate Rule
6
Stage 2 Disinfectants and Disinfection Byproducts Rule
4
Jul 2016 Active
Consumer Confidence Rule
Other Violation 0
Jul 2015 Active
Consumer Confidence Rule
Other Violation 0
Jul 2014 Active
Consumer Confidence Rule
Other Violation 0
Jan 2009 Active
Lead and Copper Rule
Monitoring & Reporting
Monitoring & Reporting 0
Jan 2005 Active
Lead and Copper Rule
Monitoring & Reporting
Monitoring & Reporting 0
Jan 2000 Active
Lead and Copper Rule
Monitoring & Reporting
Monitoring & Reporting 0
Active
Compliance Violation
Monitoring 0
Active
Compliance Violation
Monitoring 0
Jan 2021 Resolved
Nitrate
Monitoring & Reporting
Monitoring & Reporting Resolved Dec 2021
Jan 2021 Resolved
TTHM
Monitoring & Reporting
SNC Monitoring & Reporting Resolved Dec 2021
Jan 2021 Resolved
Total Haloacetic Acids (HAA5)
Monitoring & Reporting
SNC Monitoring & Reporting Resolved Dec 2021
Apr 2019 Resolved
1,2,4-Trichlorobenzene
Monitoring & Reporting
Monitoring & Reporting Resolved Jun 2019
Apr 2019 Resolved
cis-1,2-Dichloroethylene
Monitoring & Reporting
Monitoring & Reporting Resolved Jun 2019
Apr 2019 Resolved
DICHLOROMETHANE
Monitoring & Reporting
Monitoring & Reporting Resolved Jun 2019
Apr 2019 Resolved
o-Dichlorobenzene
Monitoring & Reporting
Monitoring & Reporting Resolved Jun 2019
Apr 2019 Resolved
p-Dichlorobenzene
Monitoring & Reporting
Monitoring & Reporting Resolved Jun 2019
Apr 2019 Resolved
Vinyl chloride
Monitoring & Reporting
Monitoring & Reporting Resolved Jun 2019
Apr 2019 Resolved
trans-1,2-Dichloroethylene
Monitoring & Reporting
Monitoring & Reporting Resolved Jun 2019
Apr 2019 Resolved
1,2-Dichloroethane
Monitoring & Reporting
Monitoring & Reporting Resolved Jun 2019
Apr 2019 Resolved
1,2-Dichloropropane
Monitoring & Reporting
Monitoring & Reporting Resolved Jun 2019
Showing 20 of 111 violations
Industrial pollution

Top industrial polluters within 10 miles of Medical Lake

Industrial polluters nearby

Reported releases to surface water by facilities near Medical Lake, ranked by pounds discharged annually.

FacilityTop chemicalTo surface water (lbs/yr)Distance
METALS FABRICATION CO INC
Fabricated Metals · NA
AIRWAY HEIGHTS, WA99001
7.3 mi
ADM MILLING CO
Food · ARCHER DANIELS MIDLAND CO
CHENEY, WA99004
7.8 mi
INTERSTATE CONCRETE & ASPHALT AIRWAY PIT
Nonmetallic Mineral Product · CRH AMERICAS INC
AIRWAY HEIGHTS, WA99001
5.9 mi
EXOTIC METALS
Transportation Equipment · PARKER HANNIFIN CORP
AIRWAY HEIGHTS, WA99001
6.2 mi
US DOD USAF FAIRCHILD AFB
Other · US DEPARTMENT OF DEFENSE
FAIRCHILD AIR FORCE BASE, WA99011
4.9 mi

Source: EPA Toxic Release Inventory (TRI) 2023

Site context

Superfund sites within 10 miles of Medical Lake

Superfund sites nearby

Federally tracked hazardous-waste sites on the EPA National Priorities List. Proximity does not necessarily indicate tap-water contamination — the connection depends on hydrology and treatment.

Source: EPA Superfund National Priorities List

Environmental Risk

Drought conditions

D1 — moderate drought

Spokane County is currently in D1 (moderate drought) per the U.S. Drought Monitor (week of May 5, 2026). Drought can elevate disinfection-byproduct (TTHM/HAA5) levels and taste/odor issues as utilities draw from lower reservoirs.

14.8%
Months in D2+ (last 30y)

Source: U.S. Drought Monitor, updated weekly by NDMC, USDA, and NOAA.

Environmental Risk

Flood & disaster history

7
Declared disasters
Apr 2017
Most recent
Flood
Most common type

Spokane County has experienced 7 federally declared disasters since 1964. Flooding and severe weather can compromise water treatment infrastructure and introduce contaminants into drinking water supplies.

Apr 2017
SEVERE WINTER STORMS, FLOODING, LANDSLIDES, MUDSLIDES
Flood FEMA #4309
Sep 2005
HURRICANE KATRINA EVACUATION
Coastal Storm FEMA #3227
Apr 1997
HEAVY RAINS, SNOW MELT, FLOODING, LAND & MUD SLIDES
Flood FEMA #1172
Feb 1996
HIGH WINDS, SEVERE STORMS AND FLOODING
Flood FEMA #1100
Jul 1986
SEVERE STORMS & FLOODING
Flood FEMA #769
Aug 1982
THREAT OF FLOODING AT SPIRIT LAKE
Flood FEMA #3086

Recommended water filters

Based on contaminants detected in Medical Lake's water supply, we recommend the following filter types.

🧪
For PFAS
Reverse Osmosis or Activated Carbon Block
PFAS compounds exceed EPA maximum contaminant levels
🔧
For Copper
Reverse Osmosis or KDF Filter
Copper exceeds the EPA action level of 1.3 mg/L

Full contaminants report

Contaminant Detected Level EPA Limit Unit Category Status
Lead (90th percentile) 1.1 15 ppb Inorganic Safe
Copper (90th percentile) 3.06 1.3 mg/L Inorganic Over Limit
11Cl-PF3OUdS ND HI µg/L PFAS Not Detected
4:2 FTS ND HI µg/L PFAS Not Detected
6:2 FTS ND HI µg/L PFAS Not Detected
8:2 FTS ND HI µg/L PFAS Not Detected
9Cl-PF3ONS ND HI µg/L PFAS Not Detected
ADONA ND HI µg/L PFAS Not Detected
HFPO-DA ND 0.01 µg/L PFAS Not Detected
lithium 13.300 HI µg/L PFAS Detected
NEtFOSAA ND HI µg/L PFAS Not Detected
NFDHA ND HI µg/L PFAS Not Detected
NMeFOSAA ND HI µg/L PFAS Not Detected
PFBA ND HI µg/L PFAS Not Detected
PFBS ND HI µg/L PFAS Not Detected
PFDA ND HI µg/L PFAS Not Detected
PFDoA ND HI µg/L PFAS Not Detected
PFEESA ND HI µg/L PFAS Not Detected
PFHpA ND HI µg/L PFAS Not Detected
PFHpS ND HI µg/L PFAS Not Detected
PFHxA ND HI µg/L PFAS Not Detected
PFHxS 0.005 HI µg/L PFAS Detected
PFMBA ND HI µg/L PFAS Not Detected
PFMPA ND HI µg/L PFAS Not Detected
PFNA ND HI µg/L PFAS Not Detected
PFOA ND 0.004 µg/L PFAS Not Detected
PFOS 0.004 0.004 µg/L PFAS Over MCL
PFPeA ND HI µg/L PFAS Not Detected
PFPeS ND HI µg/L PFAS Not Detected
PFTA ND HI µg/L PFAS Not Detected
PFTrDA ND HI µg/L PFAS Not Detected
PFUnA ND HI µg/L PFAS Not Detected
Data source: EPA SDWIS, UCMR 5, local utility CCR.

Lead level trend (90th percentile)

EPA action level: 15 ppb
Lead has decreased by 6.0 ppb from 1993 (6.0 ppb) to 2025 (0.0 ppb).

Copper level (90th percentile)

Latest reading: 3.060 mg/L (1996)

EPA action level: 1.3 mg/L

Contaminant Rankings

See how Medical Lake compares by contaminant

Explore where Medical Lake ranks among all Washington cities for specific contaminants.

Infrastructure

Water source & infrastructure

Primary Source
Groundwater
Operator
Local Government
Population Served
6,072
Water Systems
4
Source breakdown
Groundwater
3
Purchased Groundwater
1
Water Source

Where Medical Lake's water comes from

Groundwater

Medical Lake's drinking water is drawn from underground aquifers through wells.

Groundwater is naturally filtered through rock and soil layers, generally requiring less treatment than surface water. However, it can contain naturally occurring contaminants like arsenic, radon, and minerals.

Agricultural activity, septic systems, and industrial operations near well fields can introduce nitrates, pesticides, and volatile organic compounds.

The system is operated by local government ownership and serves approximately 6,072 people through 4 water systems.

Infrastructure

Water systems serving Medical Lake

System Name PWSID Population Source
MEDICAL LAKE CITY OF WA5353400 4,982 GW
CONSOLIDATED SUPPORT SERVICES WA5321850 569 GW
STRATHVIEW WATER DISTRICT 16 WA5384620 351 GWP
LAKEHURST H2O WA5345086 170 GW
Regional Comparison

How Medical Lake compares

Full Washington rankings →

Medical Lake's score of 72/100 is above the average of 53/100 among major Washington cities. It outscores 7 of 10 nearby cities.

Medical Lake (this city)
72
Seattle
42.3
Tacoma
32.2
Vancouver
32.9
Spokane
39.2
Kent
44.4
Washington avg
53
City Profile

About Medical Lake, WA

Wikipedia →

Medical Lake is a small city in Spokane County, eastern Washington, United States. At the 2020 census, the population was 4,874. The city is the site of a psychiatric hospital, Eastern State Hospital, and of Fairchild Air Force Base, two major employers.

Economic Profile
$73,456
Median Income
$282,089
Median Home Value
$729/mo
Median Rent
4.5%
Unemployment
Community
36.1
Median Age
562
People / sq mi
32.1%
College Educated
71.4%
Homeownership
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Frequently asked questions

Is Medical Lake, WA tap water safe to drink?

Medical Lake's water quality earned a grade of B- (72/100). Some concerns have been identified. Consider a water filter for an extra layer of protection. The city ranks #161 out of 294 cities tested in Washington.

What contaminants are in Medical Lake's water?

Lead was measured at 1.1 ppb (90th percentile). 3 PFAS compounds were detected. 111 violations are on record.

How is Medical Lake's water quality grade calculated?

The grade is based on four factors: violation history (40%), lead and copper levels (25%), PFAS contamination (25%), and regulatory compliance (10%). The score is also adjusted based on how complete the available data is. See our methodology page for full details.

Do I need a water filter in Medical Lake?

PFAS compounds exceed EPA limits — a reverse osmosis or activated carbon filter is recommended.

Where does Medical Lake's water come from?

Medical Lake's water is sourced from Groundwater. The city has 4 water systems serving approximately 6,072 residents.

What health violations has Medical Lake's water system had?

Medical Lake has 9 health-based violations on record. The most recent violation was recorded in January 2021. Health-based violations mean the water exceeded EPA maximum contaminant levels (MCLs) for a regulated substance. 8 violations remain unresolved.

Is Medical Lake's groundwater at risk of contamination?

Medical Lake uses groundwater, which can be affected by naturally occurring contaminants like arsenic, radon, and nitrate, as well as agricultural runoff and industrial activity. The system has 111 violations on record that may relate to groundwater quality. Groundwater systems are generally less susceptible to surface contamination but should be monitored for emerging contaminants like PFAS.

Why does Medical Lake have so many PFAS compounds in its water?

3 different PFAS "forever chemical" compounds were detected in Medical Lake's water supply during UCMR 5 testing. PFAS contamination often originates from proximity to military installations (AFFF firefighting foam), airports, industrial manufacturing sites, or wastewater treatment facilities. Some levels exceed the 2024 EPA maximum contaminant levels — a reverse osmosis or NSF-certified activated carbon filter is strongly recommended.

How does Medical Lake's water compare to other cities?

Medical Lake ranks #161 out of 294 cities in Washington (better than 45% of state cities) and #10453 out of 15744 cities nationally (34th percentile). The grade of B- reflects the combined assessment of violation history, lead and copper levels, PFAS contamination, and regulatory compliance.