50D1043159 CLIA NUMBER - NORTHWEST NEUROLOGICAL, PLLC

Laboratory Demographics

  • CLIA Code: 50D1043159
  • Facility Name: NORTHWEST NEUROLOGICAL, PLLC
  • Facility Address: 1520 W 3RD AVE
    SPOKANE, WA
    ZIP 99201
  • Facility Phone: 509 747-5615
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID GREELEY
  • NPI Number: 1427188465
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 50D1043159
LAB Type Physician Office
Facility Name NORTHWEST NEUROLOGICAL, PLLC
Street 1520 W 3RD AVE
City SPOKANE
State WA
ZIP 99201
Phone 509 747-5615
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2005
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director DAVID GREELEY

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