50D1098621 CLIA NUMBER - PACIFIC CATARACT LASER INSTITUTE INC PC

Laboratory Demographics

CLIA Number: 50D1098621

Facility Name: PACIFIC CATARACT LASER INSTITUTE INC PC

Facility Address:
115 NEW VIEW COURT NE
OLYMPIA, WA
ZIP 98506
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Facility Phone Number: 877 748-7254

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1215178835

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	50D1098621
LAB Type	Ambulatory Surgery Center
Facility Name	PACIFIC CATARACT LASER INSTITUTE INC PC
Street	115 NEW VIEW COURT NE
City	OLYMPIA
State	WA
ZIP	98506
Phone	877 748-7254
CertificateType	4
CertificateEffectiveDate	4/23/2009
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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