50D1042368 CLIA NUMBER - DOWNTOWN SPOKANE RENAL CENTER

Laboratory Demographics

  • CLIA Code: 50D1042368
  • Facility Name: DOWNTOWN SPOKANE RENAL CENTER
  • Facility Address: 601 W 5TH AVE, STE 101
    SPOKANE, WA
    ZIP 99204
  • Facility Phone: 509 363-0070
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ASHUTOSH MAHAJAN
  • NPI Number: 1093761603
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D1042368
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DOWNTOWN SPOKANE RENAL CENTER
Street 601 W 5TH AVE, STE 101
City SPOKANE
State WA
ZIP 99204
Phone 509 363-0070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2005
Certificate Expiration Date 4/4/2028
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ASHUTOSH MAHAJAN

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This page was last updated on: 6/4/2025