50D2210763 CLIA NUMBER - INDIAN TRAIL DIALYSIS

Laboratory Demographics

  • CLIA Code: 50D2210763
  • Facility Name: INDIAN TRAIL DIALYSIS
  • Facility Address: 5240 W LOWELL DR
    SPOKANE, WA
    ZIP 99208
  • Facility Phone: 509 816-6003
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: NELSON CHOW
  • NPI Number: 1245836923
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2210763
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name INDIAN TRAIL DIALYSIS
Street 5240 W LOWELL DR
City SPOKANE
State WA
ZIP 99208
Phone 509 816-6003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2021
Certificate Expiration Date 4/4/2028
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director NELSON CHOW

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