50D2176976 CLIA NUMBER - BELLEVUE PLASTIC SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 50D2176976
  • Facility Name: BELLEVUE PLASTIC SURGERY CENTER
  • Facility Address: 10047 MAIN ST STE 103
    BELLEVUE, WA
    ZIP 98004
  • Facility Phone: 425 463-9883
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: GEORGE MIN
  • NPI Number: 1083955330
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2176976
LAB Type Ambulatory Surgery Center
Facility Name BELLEVUE PLASTIC SURGERY CENTER
Street 10047 MAIN ST STE 103
City BELLEVUE
State WA
ZIP 98004
Phone 425 463-9883
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2019
Certificate Expiration Date 4/4/2028
Facility Type Ambulatory Surgery Center
Lab Director GEORGE MIN

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