50D2145190 CLIA NUMBER - REDMOND AMBULATORY SURGERY CENTER

Laboratory Demographics

CLIA Number: 50D2145190

Facility Name: REDMOND AMBULATORY SURGERY CENTER

Facility Address:
18100 NE UNION HILL RD STE 340
REDMOND, WA
ZIP 98052
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Facility Phone Number: 425 507-0767

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1871033878

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	50D2145190
LAB Type	Ambulatory Surgery Center
Facility Name	REDMOND AMBULATORY SURGERY CENTER
Street	18100 NE UNION HILL RD STE 340
City	REDMOND
State	WA
ZIP	98052
Phone	425 507-0767
CertificateType	4
CertificateEffectiveDate	3/2/2018
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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