50D2272515 CLIA NUMBER - CENTENNIAL PEDIATRICS OF SPOKANE

Laboratory Demographics

CLIA Number: 50D2272515

Facility Name: CENTENNIAL PEDIATRICS OF SPOKANE

Facility Address:
3010 S SOUTHEAST BLVD STE A
SPOKANE, WA
ZIP 99223
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Facility Phone Number: 509 352-3777

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1346964806

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 50D2272515
LAB Type Physician Office
Facility Name CENTENNIAL PEDIATRICS OF SPOKANE
Street 3010 S SOUTHEAST BLVD STE A
City SPOKANE
State WA
ZIP 99223
Phone 509 352-3777
CertificateType 4
CertificateEffectiveDate 11/22/2022
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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