50D2151196 CLIA NUMBER - PLASTIC SURGERY BELLINGHAM

Laboratory Demographics

  • CLIA Code: 50D2151196
  • Facility Name: PLASTIC SURGERY BELLINGHAM
  • Facility Address: 2500 SQUALICUM PKWY STE 102
    BELLINGHAM, WA
    ZIP 98225
  • Facility Phone: 360 676-0972
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: TIMOTHY M. WHITNEY
  • NPI Number: 1881184356
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2151196
LAB Type Ambulatory Surgery Center
Facility Name PLASTIC SURGERY BELLINGHAM
Street 2500 SQUALICUM PKWY STE 102
City BELLINGHAM
State WA
ZIP 98225
Phone 360 676-0972
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2018
Certificate Expiration Date 4/4/2028
Facility Type Ambulatory Surgery Center
Lab Director TIMOTHY M. WHITNEY

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