50D2008665 CLIA NUMBER - PACIFIC PAIN SPECIALISTS PLLC

Laboratory Demographics

  • CLIA Code: 50D2008665
  • Facility Name: PACIFIC PAIN SPECIALISTS PLLC
  • Facility Address: 1301 4TH AVE NW
    ISSAQUAH, WA
    ZIP 98027
  • Facility Phone: (425) 391-2722
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON KIM
  • NPI Number: 1205163771
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 50D2008665
LAB Type Physician Office
Facility Name PACIFIC PAIN SPECIALISTS PLLC
Street 1301 4TH AVE NW
City ISSAQUAH
State WA
ZIP 98027
Phone 4253912722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2010
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director JASON KIM

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This page was last updated on: 5/18/2026