50D2112703 CLIA NUMBER - OLYMPIA AMBULATORY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 50D2112703
  • Facility Name: OLYMPIA AMBULATORY SURGERY CENTER
  • Facility Address: 3525 ENSIGN RD NE SUITE J
    OLYMPIA, WA
    ZIP 98506
  • Facility Phone: 360 491-0459
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ROBERT G R LANG
  • NPI Number: 1316315930
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2112703
LAB Type Ambulatory Surgery Center
Facility Name OLYMPIA AMBULATORY SURGERY CENTER
Street 3525 ENSIGN RD NE SUITE J
City OLYMPIA
State WA
ZIP 98506
Phone 360 491-0459
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2016
Certificate Expiration Date 4/4/2028
Facility Type Ambulatory Surgery Center
Lab Director ROBERT G R LANG

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