50D2248378 CLIA NUMBER - WILLOW GROVE ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 50D2248378
  • Facility Name: WILLOW GROVE ASSISTED LIVING
  • Facility Address: 1620 E MEAD ST
    SPOKANE, WA
    ZIP 99218
  • Facility Phone: 509 467-1135
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: CORI HAZARD
  • NPI Number: 1073069514
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2248378
LAB Type Assisted Living Facility
Facility Name WILLOW GROVE ASSISTED LIVING
Street 1620 E MEAD ST
City SPOKANE
State WA
ZIP 99218
Phone 509 467-1135
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 4/4/2028
Facility Type Assisted Living Facility
Lab Director CORI HAZARD

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