50D2075838 CLIA NUMBER - THE POLYCLINIC PLASTIC SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 50D2075838
  • Facility Name: THE POLYCLINIC PLASTIC SURGERY CENTER
  • Facility Address: 1229 MADISON ST STE 1660-3590
    SEATTLE, WA
    ZIP 98104
  • Facility Phone: 206 860-5582
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ALBERT CABRERA
  • NPI Number: 1063892727
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 50D2075838
LAB Type Ambulatory Surgery Center
Facility Name THE POLYCLINIC PLASTIC SURGERY CENTER
Street 1229 MADISON ST STE 1660-3590
City SEATTLE
State WA
ZIP 98104
Phone 206 860-5582
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2014
Certificate Expiration Date 4/4/2028
Facility Type Ambulatory Surgery Center
Lab Director ALBERT CABRERA

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