50D0856695 CLIA NUMBER - NORTHWEST SPOKANE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 50D0856695
  • Facility Name: NORTHWEST SPOKANE PEDIATRICS
  • Facility Address: 220 E ROWAN AVE STE 150
    SPOKANE, WA
    ZIP 99207
  • Facility Phone: (509) 483-4060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BROOKE E. JORDAN
  • NPI Number: 1952525636
  • Taxonomy: 363LP0200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 50D0856695
LAB Type Physician Office
Facility Name NORTHWEST SPOKANE PEDIATRICS
Street 220 E ROWAN AVE STE 150
City SPOKANE
State WA
ZIP 99207
Phone 5094834060
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 Physician Office
Lab Director BROOKE E. JORDAN

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This page was last updated on: 6/29/2026