50D1044434 CLIA NUMBER - UNION GOSPEL MISSION INLAND NORTHWEST

Laboratory Demographics

  • CLIA Code: 50D1044434
  • Facility Name: UNION GOSPEL MISSION INLAND NORTHWEST
  • Facility Address: 1224 E TRENT AVE
    SPOKANE, WA
    ZIP 99202
  • Facility Phone: 509 535-8510
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: ANNIE CRAIN
  • NPI Number: 1871820118
  • Taxonomy: 251V00000X - Voluntary or Charitable

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CLIA Record

Field Name Field Value
CLIA Number 50D1044434
LAB Type Community Clinic
Facility Name UNION GOSPEL MISSION INLAND NORTHWEST
Street 1224 E TRENT AVE
City SPOKANE
State WA
ZIP 99202
Phone 509 535-8510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2025
Certificate Expiration Date 4/4/2028
Facility Type Community Clinic
Lab Director ANNIE CRAIN

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