50D1041439 CLIA NUMBER - PROLIANCE SURGEONS SEATTLE ORTHOPEDIC CENTER ASC

Laboratory Demographics

  • CLIA Code: 50D1041439
  • Facility Name: PROLIANCE SURGEONS SEATTLE ORTHOPEDIC CENTER ASC
  • Facility Address: 2409 N 45TH ST
    SEATTLE, WA
    ZIP 98103
  • Facility Phone: 206 633-8100
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: WAYNE L. WEIT
  • NPI Number: 1346289428
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D1041439
LAB Type Ambulatory Surgery Center
Facility Name PROLIANCE SURGEONS SEATTLE ORTHOPEDIC CENTER ASC
Street 2409 N 45TH ST
City SEATTLE
State WA
ZIP 98103
Phone 206 633-8100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2005
Certificate Expiration Date 4/4/2028
Facility Type Ambulatory Surgery Center
Lab Director WAYNE L. WEIT

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