50D2031735 CLIA NUMBER - PACIFIC NORTHWEST EYE SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 50D2031735
  • Facility Name: PACIFIC NORTHWEST EYE SURGERY CENTER
  • Facility Address: 3602 S 19TH ST
    TACOMA, WA
    ZIP 98405
  • Facility Phone: 253 759-5555
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: NIRAJ PATEL
  • NPI Number: 1750663084
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2031735
LAB Type Ambulatory Surgery Center
Facility Name PACIFIC NORTHWEST EYE SURGERY CENTER
Street 3602 S 19TH ST
City TACOMA
State WA
ZIP 98405
Phone 253 759-5555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2011
Certificate Expiration Date 4/4/2028
Facility Type Ambulatory Surgery Center
Lab Director NIRAJ PATEL

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