50D0864640 CLIA NUMBER - NORTHSIDE FAMILY PHYSICIANS LAB

Laboratory Demographics

CLIA Number: 50D0864640

Facility Name: NORTHSIDE FAMILY PHYSICIANS LAB

Facility Address:
42 E ROWAN AVE, SUITE A
SPOKANE, WA
ZIP 99207
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Facility Phone Number: 509 483-3155

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1750855276

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	50D0864640
LAB Type	Physician Office
Facility Name	NORTHSIDE FAMILY PHYSICIANS LAB
Street	42 E ROWAN AVE, SUITE A
City	SPOKANE
State	WA
ZIP	99207
Phone	509 483-3155
CertificateType	3
CertificateEffectiveDate	9/1/1992
CertificateExpirationDate	4/4/2028
FacilityType	PPMP

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This page was last updated on: 4/23/2024