50D2122299 CLIA NUMBER - PINE RIDGE ALZHEIMERS SPECIAL CARE CENTER

Laboratory Demographics

  • CLIA Code: 50D2122299
  • Facility Name: PINE RIDGE ALZHEIMERS SPECIAL CARE CENTER
  • Facility Address: 12009 E MISSION AVE
    SPOKANE, WA
    ZIP 99206
  • Facility Phone: 509 924-4388
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: BECKY BEARDEN
  • NPI Number: 1588105308
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2122299
LAB Type Assisted Living Facility
Facility Name PINE RIDGE ALZHEIMERS SPECIAL CARE CENTER
Street 12009 E MISSION AVE
City SPOKANE
State WA
ZIP 99206
Phone 509 924-4388
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 4/4/2028
Facility Type Assisted Living Facility
Lab Director BECKY BEARDEN

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