50D2098125 CLIA NUMBER - MT SPOKANE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 50D2098125
  • Facility Name: MT SPOKANE PEDIATRICS
  • Facility Address: 759 E HOLLAND AVE
    SPOKANE, WA
    ZIP 99218
  • Facility Phone: 509 270-0065
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JEFFREY SCHILT
  • NPI Number: 1477934578
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2098125
LAB Type Practitioner Other
Facility Name MT SPOKANE PEDIATRICS
Street 759 E HOLLAND AVE
City SPOKANE
State WA
ZIP 99218
Phone 509 270-0065
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2015
Certificate Expiration Date 4/4/2028
Facility Type Practitioner Other
Lab Director JEFFREY SCHILT

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