50D2229869 CLIA NUMBER - CASCADIA SURGICAL

Laboratory Demographics

  • CLIA Code: 50D2229869
  • Facility Name: CASCADIA SURGICAL
  • Facility Address: 2100 LITTLE MOUNTAIN LN STE B
    MOUNT VERNON, WA
    ZIP 98274
  • Facility Phone: 360 424-5338
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CLARENCE DAN SIAPCO
  • NPI Number: 1225252257
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2229869
LAB Type Ambulatory Surgery Center
Facility Name CASCADIA SURGICAL
Street 2100 LITTLE MOUNTAIN LN STE B
City MOUNT VERNON
State WA
ZIP 98274
Phone 360 424-5338
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2021
Certificate Expiration Date 4/4/2028
Facility Type Ambulatory Surgery Center
Lab Director CLARENCE DAN SIAPCO

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