50D2282766 CLIA NUMBER - PEARL PLASTIC SURGERY, PLLC

Laboratory Demographics

  • CLIA Code: 50D2282766
  • Facility Name: PEARL PLASTIC SURGERY, PLLC
  • Facility Address: 145 LILLY RD NE STE 101
    OLYMPIA, WA
    ZIP 98506
  • Facility Phone: 360 878-9300
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DAN ALBERSHARDT
  • NPI Number: 1508573221
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2282766
LAB Type Ambulatory Surgery Center
Facility Name PEARL PLASTIC SURGERY, PLLC
Street 145 LILLY RD NE STE 101
City OLYMPIA
State WA
ZIP 98506
Phone 360 878-9300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2023
Certificate Expiration Date 4/4/2028
Facility Type Ambulatory Surgery Center
Lab Director DAN ALBERSHARDT

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