50D2084614 CLIA NUMBER - AESTHETIC ASSOCIATES INC

Laboratory Demographics

  • CLIA Code: 50D2084614
  • Facility Name: AESTHETIC ASSOCIATES INC
  • Facility Address: 1101 MADISON ST STE 1280
    SEATTLE, WA
    ZIP 98104
  • Facility Phone: 206 624-6200
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: WILLIAM A. PORTUESE
  • NPI Number: 1053481960
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2084614
LAB Type Ambulatory Surgery Center
Facility Name AESTHETIC ASSOCIATES INC
Street 1101 MADISON ST STE 1280
City SEATTLE
State WA
ZIP 98104
Phone 206 624-6200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2014
Certificate Expiration Date 4/4/2028
Facility Type Ambulatory Surgery Center
Lab Director WILLIAM A. PORTUESE

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