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PEARL PLASTIC SURGERY, PLLC
NPI 1063245249
Clinic/Center - Multi-Specialty in Olympia, WA

Active since August 22, 2024CLIA 50D2282766 · Waiver
145 LILLY RD NE STE 102, OLYMPIA, WA 98506(360) 878-9300(360) 878-9666 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pearl Plastic Surgery, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEARL PLASTIC SURGERY, PLLC (NPI 1063245249) is a healthcare organization registered as a multi-specialty in Olympia, Washington and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through April 4, 2028, maintains a secondary practice location in Lacey, and lists Daniel J Albershardt, Manager, as its authorized official.

NPPES Registry Identity

NPI1063245249
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePEARL PLASTIC SURGERY, PLLC
Location Address145 LILLY RD NE STE 102Olympia, WA 98506-5028
Mailing Address145 Lilly Rd Ne Ste 102Olympia, WA 98506-5028 · (360) 878-9300 · Fax (360) 878-9666
Phone(360) 878-9300
Fax(360) 878-9666
Organization SubpartNo
Authorized OfficialDaniel J AlbershardtManager · (360) 438-6400
Enumeration DateAugust 22, 2024
NPPES CertifiedAugust 22, 2024
✔ NPI 1063245249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
Also ListedPlastic SurgeryTaxonomy 208200000X
Also ListedSurgeryTaxonomy 208600000X
145 LILLY RD NE STE 102, Olympia, WA 98506
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Secondary Practice Location 1

Location 18685 Martin Way E Ste 107Lacey, WA 98516-5857 · Phone (360) 878-9300 · Fax (360) 878-9666

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2282766

Pearl Plastic Surgery, PLLC · Olympia, WA
Active · expires Apr 4, 2028
CLIA Number50D2282766
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 25, 2023
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDan Albershardt
Laboratory Phone(360) 878-9300
Laboratory LocationPearl Plastic Surgery, PLLC145 Lilly Rd NE Ste 101, Olympia, WA 98506
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARYN N. WHITE N.D.
Naturopath
145 LILLY RD NE STE 102
OLYMPIA, WA 98506
Thurston County (360) 357-7902
DR. DANIEL J ALBERSHARDT MD
Anesthesiology
145 LILLY RD NE STE 102
OLYMPIA, WA 98506
Thurston County (360) 878-9300
DR. ROBIN ELIZABETH MOORE
Naturopath
145 LILLY RD NE STE 102
OLYMPIA, WA 98506
Thurston County (369) 459-9082

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pearl Plastic Surgery, PLLC's NPI number?

The NPI number for Pearl Plastic Surgery, PLLC is 1063245249. It was assigned to this organization in the NPPES registry on August 22, 2024.

Where is Pearl Plastic Surgery, PLLC located?

Pearl Plastic Surgery, PLLC is located at 145 Lilly Rd NE Ste 102, Olympia, WA 98506. The listed phone number is (360) 878-9300.

What is Pearl Plastic Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Pearl Plastic Surgery, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2282766) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pearl Plastic Surgery, PLLC was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.