50D2241538 CLIA NUMBER - DIRECT PRIMARY CARE

Laboratory Demographics

CLIA Number: 50D2241538

Facility Name: DIRECT PRIMARY CARE

Facility Address:
212 E CENTRAL AVE STE 360
SPOKANE, WA
ZIP 99208
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Facility Phone Number: 509 553-0565

Facility Type: Other - ARNP

Certificate Type: Microscopy

NPI Number: 1407487648

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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
CertificateType	3
CertificateEffectiveDate	10/29/2021
CertificateExpirationDate	4/4/2028
FacilityType	PPMP

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This page was last updated on: 4/23/2024