50D0997461 CLIA NUMBER - SPOKANE VALLEY RENAL CENTER

Laboratory Demographics

  • CLIA Code: 50D0997461
  • Facility Name: SPOKANE VALLEY RENAL CENTER
  • Facility Address: 12610 E MIRABEAU PKWY STE 100
    SPOKANE, WA
    ZIP 99216
  • Facility Phone: 509 228-9933
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: VIJAYA KUMAR REDDY
  • NPI Number: 1649226283
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D0997461
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SPOKANE VALLEY RENAL CENTER
Street 12610 E MIRABEAU PKWY STE 100
City SPOKANE
State WA
ZIP 99216
Phone 509 228-9933
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2002
Certificate Expiration Date 4/4/2028
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director VIJAYA KUMAR REDDY

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