50D2063320 CLIA NUMBER - THE LASER AND SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 50D2063320
  • Facility Name: THE LASER AND SURGERY CENTER
  • Facility Address: 500 PORT DR
    CLARKSTON, WA
    ZIP 99403
  • Facility Phone: 509 758-8811
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MARK T. EGGLESTON
  • NPI Number: 1760594709
  • Taxonomy: 152W00000X - Optometrist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D2063320
LAB Type Ambulatory Surgery Center
Facility Name THE LASER AND SURGERY CENTER
Street 500 PORT DR
City CLARKSTON
State WA
ZIP 99403
Phone 509 758-8811
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2013
Certificate Expiration Date 4/4/2028
Facility Type Ambulatory Surgery Center
Lab Director MARK T. EGGLESTON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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