50D2269247 CLIA NUMBER - SPOKANE UROLOGY

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Field Name	Field Value
CLIA Number	50D2269247
LAB Type	Physician Office
Facility Name	SPOKANE UROLOGY
Street	12525 E MISSION AVE STE 202
City	SPOKANE VALLEY
State	WA
ZIP	99216
Phone	509 747-3147
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	7/5/2023
Certificate Expiration Date	4/4/2028
Facility Type	Physician Office
Lab Director	RAYMOND LANCE

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