50D2012011 CLIA NUMBER - THE RETINA SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 50D2012011
  • Facility Name: THE RETINA SURGERY CENTER
  • Facility Address: 1750 112TH AVE NE STE D050
    BELLEVUE, WA
    ZIP 98004
  • Facility Phone: 206 215-3850
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CHARLSES D. BIRNBACH
  • NPI Number: 1467721498
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2012011
LAB Type Ambulatory Surgery Center
Facility Name THE RETINA SURGERY CENTER
Street 1750 112TH AVE NE STE D050
City BELLEVUE
State WA
ZIP 98004
Phone 206 215-3850
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2022
Certificate Expiration Date 4/4/2028
Facility Type Ambulatory Surgery Center
Lab Director CHARLSES D. BIRNBACH

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