50D2117634 CLIA NUMBER - PACIFIC ENDOMETRIOSIS AND PELVIC SURGERY

Laboratory Demographics

  • CLIA Code: 50D2117634
  • Facility Name: PACIFIC ENDOMETRIOSIS AND PELVIC SURGERY
  • Facility Address: 11505 BURNHAM DR STE 302
    GIG HARBOR, WA
    ZIP 98332
  • Facility Phone: (253) 313-5997
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LINDSEY M. CLARK
  • NPI Number: 1508227448
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2117634
LAB Type Physician Office
Facility Name PACIFIC ENDOMETRIOSIS AND PELVIC SURGERY
Street 11505 BURNHAM DR STE 302
City GIG HARBOR
State WA
ZIP 98332
Phone 2533135997
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2016
Certificate Expiration Date 4/4/2028
Facility Type Physician Office
Lab Director LINDSEY M. CLARK

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This page was last updated on: 5/15/2026