50D2121752 CLIA NUMBER - SOUTH PERRY ENDOSCOPY PLLC

Laboratory Demographics

  • CLIA Code: 50D2121752
  • Facility Name: SOUTH PERRY ENDOSCOPY PLLC
  • Facility Address: 907 S PERRY ST STE 260
    SPOKANE, WA
    ZIP 99202
  • Facility Phone: 509 456-5433
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: HAROLD PREIKSAITIS
  • NPI Number: 1023507183
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2121752
LAB Type Ambulatory Surgery Center
Facility Name SOUTH PERRY ENDOSCOPY PLLC
Street 907 S PERRY ST STE 260
City SPOKANE
State WA
ZIP 99202
Phone 509 456-5433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2016
Certificate Expiration Date 4/4/2028
Facility Type Ambulatory Surgery Center
Lab Director HAROLD PREIKSAITIS

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