50D0923026 CLIA NUMBER - EASTSIDE ENDOSCOPY CENTER

Laboratory Demographics

CLIA Number: 50D0923026

Facility Name: EASTSIDE ENDOSCOPY CENTER

Facility Address:
1135 116TH AVENUE NE, SUITE 570
BELLEVUE, WA
ZIP 98004
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Facility Phone Number: 425 451-7335

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1225558828

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	50D0923026
LAB Type	Other
Facility Name	EASTSIDE ENDOSCOPY CENTER
Street	1135 116TH AVENUE NE, SUITE 570
City	BELLEVUE
State	WA
ZIP	98004
Phone	425 451-7335
CertificateType	4
CertificateEffectiveDate	12/12/1996
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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