50D2152363 CLIA NUMBER - INLAND NORTHWEST BEHAVIORAL HEALTH

Laboratory Demographics

CLIA Number: 50D2152363

Facility Name: INLAND NORTHWEST BEHAVIORAL HEALTH

Facility Address:
104 W 5TH AVE
SPOKANE, WA
ZIP 99204
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Facility Phone Number: 425 419-6774

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1932698107

Taxonomy: 283Q00000X - Psychiatric Hospital
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

CLIA Record

Field Name	Field Value
CLIA Number	50D2152363
LAB Type	Hospital
Facility Name	INLAND NORTHWEST BEHAVIORAL HEALTH
Street	104 W 5TH AVE
City	SPOKANE
State	WA
ZIP	99204
Phone	425 419-6774
CertificateType	4
CertificateEffectiveDate	8/8/2018
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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This page was last updated on: 4/23/2024