50D2057164 CLIA NUMBER - PACIFIC MEDICAL CENTERS

Laboratory Demographics

  • CLIA Code: 50D2057164
  • Facility Name: PACIFIC MEDICAL CENTERS
  • Facility Address: 1101 MADISON ST STE 301
    SEATTLE, WA
    ZIP 98104
  • Facility Phone: 206 505-1300
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ELIZABETH BROUSSARD
  • NPI Number: 1124567474
  • Taxonomy: 261QI0500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2057164
LAB Type Ambulatory Surgery Center
Facility Name PACIFIC MEDICAL CENTERS
Street 1101 MADISON ST STE 301
City SEATTLE
State WA
ZIP 98104
Phone 206 505-1300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2013
Certificate Expiration Date 4/4/2028
Facility Type Ambulatory Surgery Center
Lab Director ELIZABETH BROUSSARD

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