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50D2097230 CLIA NUMBER - PACIFIC NORTHWEST UROLOGY SPECIALISTS PLLC

Laboratory Demographics

CLIA Number: 50D2097230

Facility Name: PACIFIC NORTHWEST UROLOGY SPECIALISTS PLLC

Facility Address:
3232 SQUALICUM PKWY
BELLINGHAM, WA
ZIP 98225
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Facility Phone Number: 360 733-7687

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1023400041

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name Field Value
CLIA Number 50D2097230
LAB Type Physician Office
Facility Name PACIFIC NORTHWEST UROLOGY SPECIALISTS PLLC
Street 3232 SQUALICUM PKWY
City BELLINGHAM
State WA
ZIP 98225
Phone 360 733-7687
CertificateType 2
CertificateEffectiveDate 6/10/2015
CertificateExpirationDate 4/4/2028
FacilityType Compliance

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This page was last updated on: 4/23/2024