50D0629008 CLIA NUMBER - SURGICAL ASSOCIATES NORTHWEST DIVISION OF UROLOGY

Laboratory Demographics

CLIA Number: 50D0629008

Facility Name: SURGICAL ASSOCIATES NORTHWEST DIVISION OF UROLOGY

Facility Address:
34612 6TH AVENUE SOUTH STE 210
FEDERAL WAY, WA
ZIP 98003
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Facility Phone Number: 253 927-1882

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1427128198

Taxonomy: 207YX0905X - Otolaryngology
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

CLIA Record

Field Name	Field Value
CLIA Number	50D0629008
LAB Type	Physician Office
Facility Name	SURGICAL ASSOCIATES NORTHWEST DIVISION OF UROLOGY
Street	34612 6TH AVENUE SOUTH STE 210
City	FEDERAL WAY
State	WA
ZIP	98003
Phone	253 927-1882
CertificateType	2
CertificateEffectiveDate	9/12/2005
CertificateExpirationDate	4/4/2028
FacilityType	Compliance

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