50D0723814 CLIA NUMBER - NORTH CENTRAL CARE CENTER

Laboratory Demographics

  • CLIA Code: 50D0723814
  • Facility Name: NORTH CENTRAL CARE CENTER
  • Facility Address: 1812 N WALL ST
    SPOKANE, WA
    ZIP 99205
  • Facility Phone: 509 328-6030
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TIFFANY J. HANF
  • NPI Number: 1962496745
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D0723814
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NORTH CENTRAL CARE CENTER
Street 1812 N WALL ST
City SPOKANE
State WA
ZIP 99205
Phone 509 328-6030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/1992
Certificate Expiration Date 4/4/2028
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TIFFANY J. HANF

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