50D1069473 CLIA NUMBER - RETINA CENTER NORTHWEST

Laboratory Demographics

CLIA Number: 50D1069473

Facility Name: RETINA CENTER NORTHWEST

Facility Address:
9800 NW LEVIN RD STE 203
SILVERDALE, WA
ZIP 98383
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Facility Phone Number: 360 307-0300

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1346259975

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	50D1069473
LAB Type	Physician Office
Facility Name	RETINA CENTER NORTHWEST
Street	9800 NW LEVIN RD STE 203
City	SILVERDALE
State	WA
ZIP	98383
Phone	360 307-0300
CertificateType	4
CertificateEffectiveDate	6/6/2007
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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