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LAVENDER LANE ADULT FAMILY HOME
NPI 1669364162
Custodial Care Facility - Adult Care Home in Spokane, WA

Active since July 18, 2025CLIA 50D2343755 · Waiver
9616 N SYLVIA CT, SPOKANE, WA 99208(509) 850-7442 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lavender Lane Adult Family Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAVENDER LANE ADULT FAMILY HOME (NPI 1669364162) is a healthcare organization registered as an adult care home in Spokane, Washington and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Pierre G De La Force, Administrator, as its authorized official.

NPPES Registry Identity

NPI1669364162
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameLAVENDER LANE ADULT FAMILY HOME
Location Address9616 N SYLVIA CTSpokane, WA 99208-8632
Mailing Address6805 N Belt StSpokane, WA 99208-4301 · (509) 850-7442
Phone(509) 850-7442
Organization SubpartNo
Authorized OfficialPierre G De La ForceAdministrator · (509) 850-7442
Enumeration DateJuly 18, 2025
NPPES CertifiedJuly 17, 2025
✔ NPI 1669364162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition

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.

9616 N SYLVIA CT, Spokane, WA 99208
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2343755

Lavender Lane Adult Family Home, LLC · Spokane, WA
Active · expires Apr 4, 2028
CLIA Number50D2343755
Laboratory TypeAfh
Certificate Effective DateMay 12, 2026
Certificate Expiration DateApril 4, 2028
Laboratory DirectorPierre G. Delaforce
Laboratory Phone(509) 960-8991
Laboratory LocationLavender Lane Adult Family Home, LLC9616 N Sylvan Court, Spokane, WA 99208
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lavender Lane Adult Family Home's NPI number?

The NPI number for Lavender Lane Adult Family Home is 1669364162. It was assigned to this organization in the NPPES registry on July 18, 2025.

Where is Lavender Lane Adult Family Home located?

Lavender Lane Adult Family Home is located at 9616 N Sylvia Ct, Spokane, WA 99208. The listed phone number is (509) 850-7442.

What is Lavender Lane Adult Family Home's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does Lavender Lane Adult Family Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2343755) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lavender Lane Adult Family Home was last updated on July 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.