50D2104429 CLIA NUMBER - DEACONESS NORTH ONCOLOGY LAB

Laboratory Demographics

  • CLIA Code: 50D2104429
  • Facility Name: DEACONESS NORTH ONCOLOGY LAB
  • Facility Address: 309 E FAREWELL RD STE 100
    SPOKANE, WA
    ZIP 99218
  • Facility Phone: 509 838-2531
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MICHAEL DE TAR
  • NPI Number: 1306362793
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 50D2104429
LAB Type Physician Office
Facility Name DEACONESS NORTH ONCOLOGY LAB
Street 309 E FAREWELL RD STE 100
City SPOKANE
State WA
ZIP 99218
Phone 509 838-2531
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/4/2015
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director MICHAEL DE TAR

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