50D1082613 CLIA NUMBER - OLYMPIA SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 50D1082613
  • Facility Name: OLYMPIA SURGERY CENTER
  • Facility Address: 3901 CAPITAL MALL DR SW STE B
    OLYMPIA, WA
    ZIP 98502
  • Facility Phone: 360 528-8571
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: TIMOTHY DUMONTIER
  • NPI Number: 1083785398
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D1082613
LAB Type Ambulatory Surgery Center
Facility Name OLYMPIA SURGERY CENTER
Street 3901 CAPITAL MALL DR SW STE B
City OLYMPIA
State WA
ZIP 98502
Phone 360 528-8571
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2008
Certificate Expiration Date 4/4/2028
Facility Type Ambulatory Surgery Center
Lab Director TIMOTHY DUMONTIER

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