50D1021614 CLIA NUMBER - SKIN SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 50D1021614
  • Facility Name: SKIN SURGERY CENTER
  • Facility Address: 1551 116TH AVE NE
    BELLEVUE, WA
    ZIP 98004
  • Facility Phone: (217) 503-0983
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ANNALISA GORMAN
  • NPI Number: 1710443619
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 50D1021614
LAB Type Physician Office
Facility Name SKIN SURGERY CENTER
Street 1551 116TH AVE NE
City BELLEVUE
State WA
ZIP 98004
Phone 2175030983
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 1/27/2004
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director ANNALISA GORMAN

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This page was last updated on: 5/18/2026