50D2303170 CLIA NUMBER - MAPLEWOOD GARDENS ASSISTED LIVING COMMUNITY LLC

Laboratory Demographics

  • CLIA Code: 50D2303170
  • Facility Name: MAPLEWOOD GARDENS ASSISTED LIVING COMMUNITY LLC
  • Facility Address: 1100 N SUPERIOR ST
    SPOKANE, WA
    ZIP 99202
  • Facility Phone: 509 489-9510
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DEVON ALEXANDER
  • NPI Number: 1215197215
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2303170
LAB Type Assisted Living Facility
Facility Name MAPLEWOOD GARDENS ASSISTED LIVING COMMUNITY LLC
Street 1100 N SUPERIOR ST
City SPOKANE
State WA
ZIP 99202
Phone 509 489-9510
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/4/2028
Facility Type Assisted Living Facility
Lab Director DEVON ALEXANDER

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This page was last updated on: 9/29/2025