50D0940656 CLIA NUMBER - SKIN SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 50D0940656
  • Facility Name: SKIN SURGERY CENTER
  • Facility Address: 1229 MADISON ST STE 1480
    SEATTLE, WA
    ZIP 98104
  • Facility Phone: 217 503-0983
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ANNALISA GORMAN
  • NPI Number: 1841371960
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 50D0940656
LAB Type Physician Office
Facility Name SKIN SURGERY CENTER
Street 1229 MADISON ST STE 1480
City SEATTLE
State WA
ZIP 98104
Phone 217 503-0983
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/12/1998
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director ANNALISA GORMAN

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