50D1055267 CLIA NUMBER - VANCOUVER EYE CARE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 50D1055267
  • Facility Name: VANCOUVER EYE CARE SURGERY CENTER
  • Facility Address: 17720 WE MILL PLAIN BLVD STE 100
    VANCOUVER, WA
    ZIP 98683
  • Facility Phone: (360) 823-2022
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MAURICIO R. CHAVEZ
  • NPI Number: 1043482011
  • Taxonomy: 332H00000X - Eyewear Supplier

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D1055267
LAB Type Ambulatory Surgery Center
Facility Name VANCOUVER EYE CARE SURGERY CENTER
Street 17720 WE MILL PLAIN BLVD STE 100
City VANCOUVER
State WA
ZIP 98683
Phone 3608232022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2006
Certificate Expiration Date 4/4/2028
Facility Type Ambulatory Surgery Center
Lab Director MAURICIO R. CHAVEZ

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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