50D2006315 CLIA NUMBER - SILVER LAKE EYE CARE

Laboratory Demographics

  • CLIA Code: 50D2006315
  • Facility Name: SILVER LAKE EYE CARE
  • Facility Address: 10101 19TH AVE SE STE B
    EVERETT, WA
    ZIP 98208
  • Facility Phone: 425 338-5400
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LYNETTE M. SUNDHOLM
  • NPI Number: 1639111073
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 50D2006315
LAB Type Practitioner Other
Facility Name SILVER LAKE EYE CARE
Street 10101 19TH AVE SE STE B
City EVERETT
State WA
ZIP 98208
Phone 425 338-5400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2015
Certificate Expiration Date 4/4/2028
Facility Type Practitioner Other
Lab Director LYNETTE M. SUNDHOLM

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This page was last updated on: 3/20/2025