50D0926546 CLIA NUMBER - EVERGREEN EYE CENTER

Laboratory Demographics

  • CLIA Code: 50D0926546
  • Facility Name: EVERGREEN EYE CENTER
  • Facility Address: 34719 6TH AVE S
    FEDERAL WAY, WA
    ZIP 98003
  • Facility Phone: 206 212-2101
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT A. TESTER
  • NPI Number: 1821167479
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D0926546
LAB Type Physician Office
Facility Name EVERGREEN EYE CENTER
Street 34719 6TH AVE S
City FEDERAL WAY
State WA
ZIP 98003
Phone 206 212-2101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2017
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director ROBERT A. TESTER

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