50D2284796 CLIA NUMBER - 1 EMPOWERING AFH 2 LLC

Laboratory Demographics

CLIA Number: 50D2284796

Facility Name: 1 EMPOWERING AFH 2 LLC

Facility Address:
6211 W SUNDANCE DR
SPOKANE, WA
ZIP 99208
Get Directions

Facility Phone Number: 509 957-5679

Facility Type: Other - AFH

Certificate Type: Waiver

NPI Number: 1114663341

Taxonomy: 311ZA0620X - Custodial Care Facility
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

CLIA Record

Field Name	Field Value
CLIA Number	50D2284796
LAB Type	Other - AFH
Facility Name	1 EMPOWERING AFH 2 LLC
Street	6211 W SUNDANCE DR
City	SPOKANE
State	WA
ZIP	99208
Phone	509 957-5679
CertificateType	4
CertificateEffectiveDate	6/28/2023
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