50D2021160 CLIA NUMBER - MADSEN FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 50D2021160
  • Facility Name: MADSEN FAMILY MEDICINE
  • Facility Address: 9708 N NEVADA ST STE 203
    SPOKANE, WA
    ZIP 99218
  • Facility Phone: 509 863-9240
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LON C. MADSEN
  • NPI Number: 1275866048
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2021160
LAB Type Physician Office
Facility Name MADSEN FAMILY MEDICINE
Street 9708 N NEVADA ST STE 203
City SPOKANE
State WA
ZIP 99218
Phone 509 863-9240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2021
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director LON C. MADSEN

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This page was last updated on: 3/20/2025