50D2197118 CLIA NUMBER - PROLIANCE SURGERY CENTER AT VALLEY

Home > CLIA Lookup > 50D2197118

Laboratory Demographics

CLIA Number: 50D2197118

Facility Name: PROLIANCE SURGERY CENTER AT VALLEY

Facility Address:
4009 TALBOT RD S STE 200
RENTON, WA
ZIP 98055
Get Directions

Facility Phone Number: 425 226-2041

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1750321006

Taxonomy: 261QA1903X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	10/21/2020
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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