50D2215280 CLIA NUMBER - MORNING STAR BOYS' RANCH

Laboratory Demographics

  • CLIA Code: 50D2215280
  • Facility Name: MORNING STAR BOYS' RANCH
  • Facility Address: 4511 S GLENROSE RD
    SPOKANE, WA
    ZIP 99223
  • Facility Phone: 509 448-1202
  • Facility Type: Other - FOSTERCARE
  • Facility Type: Waiver
  • Lab Director: JODIE VERHAAG
  • NPI Number: 1174897920
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 50D2215280
LAB Type Other - FOSTERCARE
Facility Name MORNING STAR BOYS' RANCH
Street 4511 S GLENROSE RD
City SPOKANE
State WA
ZIP 99223
Phone 509 448-1202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2021
Certificate Expiration Date 4/4/2028
Facility Type Other - FOSTERCARE
Lab Director JODIE VERHAAG

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