50D2070363 CLIA NUMBER - CASCADE FACIAL SURGERY AND AESTHETICS PLLC

Laboratory Demographics

  • CLIA Code: 50D2070363
  • Facility Name: CASCADE FACIAL SURGERY AND AESTHETICS PLLC
  • Facility Address: 1600 CONTINENTAL PL STE 103
    MOUNT VERNON, WA
    ZIP 98273
  • Facility Phone: 360 336-1947
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JONATHAN R. GRANT
  • NPI Number: 1124458583
  • Taxonomy: 2082S0099X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 50D2070363
LAB Type Physician Office
Facility Name CASCADE FACIAL SURGERY AND AESTHETICS PLLC
Street 1600 CONTINENTAL PL STE 103
City MOUNT VERNON
State WA
ZIP 98273
Phone 360 336-1947
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2013
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director JONATHAN R. GRANT

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