50D2152363 CLIA NUMBER - INLAND NORTHWEST BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 50D2152363
  • Facility Name: INLAND NORTHWEST BEHAVIORAL HEALTH
  • Facility Address: 104 W 5TH AVE
    SPOKANE, WA
    ZIP 99204
  • Facility Phone: 425 419-6774
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: DOUGLAS HOLL
  • NPI Number: 1932698107
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2018
Certificate Expiration Date 4/4/2028
Facility Type Hospital
Lab Director DOUGLAS HOLL

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