50D1020215 CLIA NUMBER - ZUGEC MEDICAL CLINIC

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Laboratory Demographics

CLIA Number: 50D1020215

Facility Name: ZUGEC MEDICAL CLINIC

Facility Address:
525 S BERNARD
SPOKANE, WA
ZIP 99204
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Facility Phone Number: 509 624-5121

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1467632091

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	50D1020215
LAB Type	Physician Office
Facility Name	ZUGEC MEDICAL CLINIC
Street	525 S BERNARD
City	SPOKANE
State	WA
ZIP	99204
Phone	509 624-5121
CertificateType	4
CertificateEffectiveDate	12/15/2003
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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