50D2163324 CLIA NUMBER - PRO MEDICAL SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 50D2163324
  • Facility Name: PRO MEDICAL SURGERY CENTER
  • Facility Address: 4455 148TH AVE NE FL B-2
    BELLEVUE, WA
    ZIP 98007
  • Facility Phone: 425 376-3400
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: EVELYN LINDERTHALER
  • NPI Number: 1215701404
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2163324
LAB Type Ambulatory Surgery Center
Facility Name PRO MEDICAL SURGERY CENTER
Street 4455 148TH AVE NE FL B-2
City BELLEVUE
State WA
ZIP 98007
Phone 425 376-3400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2019
Certificate Expiration Date 4/4/2028
Facility Type Ambulatory Surgery Center
Lab Director EVELYN LINDERTHALER

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