50D2272551 CLIA NUMBER - WANDERMERE FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 50D2272551

Facility Name: WANDERMERE FAMILY MEDICINE

Facility Address:
309 E FARWELL RD
SPOKANE, WA
ZIP 99218
Get Directions

Facility Phone Number: 509 474-9838

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1730890617

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	50D2272551
LAB Type	Physician Office
Facility Name	WANDERMERE FAMILY MEDICINE
Street	309 E FARWELL RD
City	SPOKANE
State	WA
ZIP	99218
Phone	509 474-9838
CertificateType	4
CertificateEffectiveDate	11/22/2022
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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