50D2078287 CLIA NUMBER - EVERGREEN EYE CENTER

Laboratory Demographics

  • CLIA Code: 50D2078287
  • Facility Name: EVERGREEN EYE CENTER
  • Facility Address: 15153 5TH AVE SW
    BURIEN, WA
    ZIP 98166
  • Facility Phone: 800 250-7978
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARY W. CHUNG
  • NPI Number: 1538238043
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 50D2078287
LAB Type Physician Office
Facility Name EVERGREEN EYE CENTER
Street 15153 5TH AVE SW
City BURIEN
State WA
ZIP 98166
Phone 800 250-7978
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2015
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director GARY W. CHUNG

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