50D2077885 CLIA NUMBER - APEX DENTAL ANESTHESIA SERVICES

Laboratory Demographics

  • CLIA Code: 50D2077885
  • Facility Name: APEX DENTAL ANESTHESIA SERVICES
  • Facility Address: 930 N MULLAN RD STE 1
    SPOKANE, WA
    ZIP 99206
  • Facility Phone: 509 764-5399
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EUGENE B. PESTER
  • NPI Number: 1255045514
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 50D2077885
LAB Type Physician Office
Facility Name APEX DENTAL ANESTHESIA SERVICES
Street 930 N MULLAN RD STE 1
City SPOKANE
State WA
ZIP 99206
Phone 509 764-5399
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2014
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director EUGENE B. PESTER

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