50D2019643 CLIA NUMBER - AESTHETIC PHYSICIANS, PC DBA SONO BELLO

Laboratory Demographics

  • CLIA Code: 50D2019643
  • Facility Name: AESTHETIC PHYSICIANS, PC DBA SONO BELLO
  • Facility Address: 3209 23RD ST STE 170
    TACOMA, WA
    ZIP 98405
  • Facility Phone: 253 383-2200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAVAD B. TAVASSOLI
  • NPI Number: 1558486969
  • Taxonomy: 2082S0099X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 50D2019643
LAB Type Physician Office
Facility Name AESTHETIC PHYSICIANS, PC DBA SONO BELLO
Street 3209 23RD ST STE 170
City TACOMA
State WA
ZIP 98405
Phone 253 383-2200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2011
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director JAVAD B. TAVASSOLI

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