50D0995913 CLIA NUMBER - PLASTIC SURGICENTRE, INC,THE

Laboratory Demographics

  • CLIA Code: 50D0995913
  • Facility Name: PLASTIC SURGICENTRE, INC,THE
  • Facility Address: 535 SOUTH PINE STREET
    SPOKANE, WA
    ZIP 99202
  • Facility Phone: 509 621-2160
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DEANNE BOYD
  • NPI Number: 1780714139
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 50D0995913
LAB Type Ambulatory Surgery Center
Facility Name PLASTIC SURGICENTRE, INC,THE
Street 535 SOUTH PINE STREET
City SPOKANE
State WA
ZIP 99202
Phone 509 621-2160
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2002
Certificate Expiration Date 4/4/2028
Facility Type Ambulatory Surgery Center
Lab Director DEANNE BOYD

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