50D2155302 CLIA NUMBER - SPOKANE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 50D2155302
  • Facility Name: SPOKANE PEDIATRICS
  • Facility Address: 601 W 5TH AVE STE 200
    SPOKANE, WA
    ZIP 99204
  • Facility Phone: (509) 960-8894
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: YVETTE ROSSER
  • NPI Number: 1932680949
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 50D2155302
LAB Type Federally Qualified Health Center
Facility Name SPOKANE PEDIATRICS
Street 601 W 5TH AVE STE 200
City SPOKANE
State WA
ZIP 99204
Phone 5099608894
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2018
Certificate Expiration Date 4/4/2028
Facility Type Federally Qualified Health Center
Lab Director YVETTE ROSSER

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This page was last updated on: 5/15/2026