50D1030896 CLIA NUMBER - ROCKWOOD CLINIC ONCOLOGY

Laboratory Demographics

CLIA Number: 50D1030896

Facility Name: ROCKWOOD CLINIC ONCOLOGY

Facility Address:
910 W 5TH AVE STE 680
SPOKANE, WA
ZIP 99204
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Facility Phone Number: 509 838-2531

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1447621578

Taxonomy: 332900000X - Non-Pharmacy Dispensing Site
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

CLIA Record

Field Name	Field Value
CLIA Number	50D1030896
LAB Type	Physician Office
Facility Name	ROCKWOOD CLINIC ONCOLOGY
Street	910 W 5TH AVE STE 680
City	SPOKANE
State	WA
ZIP	99204
Phone	509 838-2531
CertificateType	2
CertificateEffectiveDate	9/20/2004
CertificateExpirationDate	4/4/2028
FacilityType	Compliance

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