50D0984319 CLIA NUMBER - PACIFIC CATARACT AND LASER INSTITUTE

Laboratory Demographics

CLIA Number: 50D0984319

Facility Name: PACIFIC CATARACT AND LASER INSTITUTE

Facility Address:
3900 KERN RD
YAKIMA, WA
ZIP 98902
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Facility Phone Number: 509 966-1356

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1538336219

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	50D0984319
LAB Type	Ambulatory Surgery Center
Facility Name	PACIFIC CATARACT AND LASER INSTITUTE
Street	3900 KERN RD
City	YAKIMA
State	WA
ZIP	98902
Phone	509 966-1356
CertificateType	4
CertificateEffectiveDate	3/19/2001
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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