50D2001043 CLIA NUMBER - KAISER PERMANENTE SALMON CREEK SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 50D2001043
  • Facility Name: KAISER PERMANENTE SALMON CREEK SURGERY CENTER
  • Facility Address: 2415 NE 134TH ST STE 205
    VANCOUVER, WA
    ZIP 98686
  • Facility Phone: 360 558-7044
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: LORRIE OHOLLEAM
  • NPI Number: 1619108669
  • Taxonomy: 261QE0800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2001043
LAB Type Ambulatory Surgery Center
Facility Name KAISER PERMANENTE SALMON CREEK SURGERY CENTER
Street 2415 NE 134TH ST STE 205
City VANCOUVER
State WA
ZIP 98686
Phone 360 558-7044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2009
Certificate Expiration Date 4/4/2028
Facility Type Ambulatory Surgery Center
Lab Director LORRIE OHOLLEAM

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