50D2241538 CLIA NUMBER - DIRECT PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 50D2241538
  • Facility Name: DIRECT PRIMARY CARE
  • Facility Address: 212 E CENTRAL AVE STE 360
    SPOKANE, WA
    ZIP 99208
  • Facility Phone: 509 553-0565
  • Facility Type: Other - ARNP
  • Facility Type: Microscopy
  • Lab Director: MATT DINSMORE
  • NPI Number: 1407487648
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 50D2241538
LAB Type Other - ARNP
Facility Name DIRECT PRIMARY CARE
Street 212 E CENTRAL AVE STE 360
City SPOKANE
State WA
ZIP 99208
Phone 509 553-0565
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/29/2021
Certificate Expiration Date 4/4/2028
Facility Type Other - ARNP
Lab Director MATT DINSMORE

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