50D1062353 CLIA NUMBER - LASER AND SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 50D1062353
  • Facility Name: LASER AND SURGERY CENTER LLC
  • Facility Address: 345 COLLEGE STREET SW SUITE A
    LACEY, WA
    ZIP 98503
  • Facility Phone: 360 456-7077
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: STEPHEN RECK
  • NPI Number: 1811932791
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D1062353
LAB Type Ambulatory Surgery Center
Facility Name LASER AND SURGERY CENTER LLC
Street 345 COLLEGE STREET SW SUITE A
City LACEY
State WA
ZIP 98503
Phone 360 456-7077
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2006
Certificate Expiration Date 4/4/2028
Facility Type Ambulatory Surgery Center
Lab Director STEPHEN RECK

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