50D2296334 CLIA NUMBER - CHAS HEALTH PARKSIDE CLINIC

Laboratory Demographics

  • CLIA Code: 50D2296334
  • Facility Name: CHAS HEALTH PARKSIDE CLINIC
  • Facility Address: 3002 E MISSION AVE
    SPOKANE, WA
    ZIP 99202
  • Facility Phone: 509 444-8200
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: WILFRED MADARANG
  • NPI Number: 1437360344
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2296334
LAB Type Federally Qualified Health Center
Facility Name CHAS HEALTH PARKSIDE CLINIC
Street 3002 E MISSION AVE
City SPOKANE
State WA
ZIP 99202
Phone 509 444-8200
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 12/27/2023
Certificate Expiration Date 4/4/2028
Facility Type Federally Qualified Health Center
Lab Director WILFRED MADARANG

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This page was last updated on: 6/4/2025