50D2251771 CLIA NUMBER - MOBILE MED WA

Laboratory Demographics

  • CLIA Code: 50D2251771
  • Facility Name: MOBILE MED WA
  • Facility Address: 5901 N LIDGERWOOD ST STE 24B
    SPOKANE, WA
    ZIP 99208
  • Facility Phone: 509 444-8888
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: BARBARA A. BRANDON
  • NPI Number: 1346382280
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 50D2251771
LAB Type Federally Qualified Health Center
Facility Name MOBILE MED WA
Street 5901 N LIDGERWOOD ST STE 24B
City SPOKANE
State WA
ZIP 99208
Phone 509 444-8888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2022
Certificate Expiration Date 4/4/2028
Facility Type Federally Qualified Health Center
Lab Director BARBARA A. BRANDON

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