50D2175720 CLIA NUMBER - SPINE TEAM SPOKANE

Laboratory Demographics

  • CLIA Code: 50D2175720
  • Facility Name: SPINE TEAM SPOKANE
  • Facility Address: 1123 N EVERGREEN RD
    SPOKANE VALLEY, WA
    ZIP 99216
  • Facility Phone: 509 363-3100
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: TIMOTHY D. DIBBLE
  • NPI Number: 1780754499
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2175720
LAB Type Physician Office
Facility Name SPINE TEAM SPOKANE
Street 1123 N EVERGREEN RD
City SPOKANE VALLEY
State WA
ZIP 99216
Phone 509 363-3100
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/27/2019
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director TIMOTHY D. DIBBLE

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