50D2301392 CLIA NUMBER - PACWEST HEALTHCARE PLLC

Laboratory Demographics

CLIA Number: 50D2301392

Facility Name: PACWEST HEALTHCARE PLLC

Facility Address:
9106 W RUTTER PKWY
SPOKANE, WA
ZIP 99208
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Facility Phone Number: 423 259-8002

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1952093742

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	50D2301392
LAB Type	Community Clinic
Facility Name	PACWEST HEALTHCARE PLLC
Street	9106 W RUTTER PKWY
City	SPOKANE
State	WA
ZIP	99208
Phone	423 259-8002
CertificateType	4
CertificateEffectiveDate	3/25/2024
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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