50D2070395 CLIA NUMBER - MADISON TOWER SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 50D2070395
  • Facility Name: MADISON TOWER SURGERY CENTER
  • Facility Address: 1101 MADISON ST STE 1100
    SEATTLE, WA
    ZIP 98104
  • Facility Phone: 206 467-1101
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SHAHRAM SALEMY
  • NPI Number: 1326442583
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2070395
LAB Type Ambulatory Surgery Center
Facility Name MADISON TOWER SURGERY CENTER
Street 1101 MADISON ST STE 1100
City SEATTLE
State WA
ZIP 98104
Phone 206 467-1101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2013
Certificate Expiration Date 4/4/2028
Facility Type Ambulatory Surgery Center
Lab Director SHAHRAM SALEMY

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This page was last updated on: 3/20/2025