50D1096972 CLIA NUMBER - CREEKSIDE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 50D1096972
  • Facility Name: CREEKSIDE SURGERY CENTER
  • Facility Address: 2400 RACQUET LN
    YAKIMA, WA
    ZIP 98902
  • Facility Phone: 509 225-3668
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: STUART B. CARDON
  • NPI Number: 1730180746
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 50D1096972
LAB Type Ambulatory Surgery Center
Facility Name CREEKSIDE SURGERY CENTER
Street 2400 RACQUET LN
City YAKIMA
State WA
ZIP 98902
Phone 509 225-3668
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2009
Certificate Expiration Date 4/4/2028
Facility Type Ambulatory Surgery Center
Lab Director STUART B. CARDON

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