50D2303505 CLIA NUMBER - SPOKANE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 50D2303505
  • Facility Name: SPOKANE SURGERY CENTER
  • Facility Address: 12109 E BROADWAY AVE STE C
    SPOKANE, WA
    ZIP 99206
  • Facility Phone: 509 928-1990
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DARRON WOOLLEY
  • NPI Number: 1902864879
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2303505
LAB Type Ambulatory Surgery Center
Facility Name SPOKANE SURGERY CENTER
Street 12109 E BROADWAY AVE STE C
City SPOKANE
State WA
ZIP 99206
Phone 509 928-1990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/4/2028
Facility Type Ambulatory Surgery Center
Lab Director DARRON WOOLLEY

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