50D2197118 CLIA NUMBER - PROLIANCE SURGERY CENTER AT VALLEY

Laboratory Demographics

  • CLIA Code: 50D2197118
  • Facility Name: PROLIANCE SURGERY CENTER AT VALLEY
  • Facility Address: 4009 TALBOT RD S STE 200
    RENTON, WA
    ZIP 98055
  • Facility Phone: 425 226-2041
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: FREDRICK HUANG
  • NPI Number: 1750321006
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D2197118
LAB Type Ambulatory Surgery Center
Facility Name PROLIANCE SURGERY CENTER AT VALLEY
Street 4009 TALBOT RD S STE 200
City RENTON
State WA
ZIP 98055
Phone 425 226-2041
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2020
Certificate Expiration Date 4/4/2028
Facility Type Ambulatory Surgery Center
Lab Director FREDRICK HUANG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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