50D0710126 CLIA NUMBER - GILMAN FAMILY PRACTICE, PS

Laboratory Demographics

  • CLIA Code: 50D0710126
  • Facility Name: GILMAN FAMILY PRACTICE, PS
  • Facility Address: 1414 N VERCLER RD STE 4
    SPOKANE VALLEY, WA
    ZIP 99216
  • Facility Phone: 509 924-4681
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BRYCE H. GILMAN
  • NPI Number: 1770631327
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D0710126
LAB Type Physician Office
Facility Name GILMAN FAMILY PRACTICE, PS
Street 1414 N VERCLER RD STE 4
City SPOKANE VALLEY
State WA
ZIP 99216
Phone 509 924-4681
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/1992
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director BRYCE H. GILMAN

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This page was last updated on: 9/29/2025