50D2173567 CLIA NUMBER - THE GALLERY OF COSMETIC SURGERY

Laboratory Demographics

CLIA Number: 50D2173567

Facility Name: THE GALLERY OF COSMETIC SURGERY

Facility Address:
3500 188TH ST SW STE 670
LYNNWOOD, WA
ZIP 98037
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Facility Phone Number: 425 775-3561

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1861606162

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	50D2173567
LAB Type	Ambulatory Surgery Center
Facility Name	THE GALLERY OF COSMETIC SURGERY
Street	3500 188TH ST SW STE 670
City	LYNNWOOD
State	WA
ZIP	98037
Phone	425 775-3561
CertificateType	4
CertificateEffectiveDate	10/15/2019
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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