50D1099257 CLIA NUMBER - SPOKANE EYE CLINIC

Laboratory Demographics

CLIA Number: 50D1099257

Facility Name: SPOKANE EYE CLINIC

Facility Address:
16201 E INDIANA AVE STE 5000
SPOKANE VALLEY, WA
ZIP 99216
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Facility Phone Number: 509 456-0107

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1730187899

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	50D1099257
LAB Type	Other
Facility Name	SPOKANE EYE CLINIC
Street	16201 E INDIANA AVE STE 5000
City	SPOKANE VALLEY
State	WA
ZIP	99216
Phone	509 456-0107
CertificateType	4
CertificateEffectiveDate	5/8/2009
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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