50D2126960 CLIA NUMBER - THE EMILY PROGRAM

Laboratory Demographics

  • CLIA Code: 50D2126960
  • Facility Name: THE EMILY PROGRAM
  • Facility Address: 2020 E 29TH AVE STE 200
    SPOKANE, WA
    ZIP 99203
  • Facility Phone: 509 252-1366
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: KATHLEEN FUGERE
  • NPI Number: 1790150845
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 50D2126960
LAB Type Comp. Outpatient Rehab Facility
Facility Name THE EMILY PROGRAM
Street 2020 E 29TH AVE STE 200
City SPOKANE
State WA
ZIP 99203
Phone 509 252-1366
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2017
Certificate Expiration Date 4/4/2028
Facility Type Comp. Outpatient Rehab Facility
Lab Director KATHLEEN FUGERE

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