29D0984238 CLIA NUMBER - PAHRUMP DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 29D0984238
  • Facility Name: PAHRUMP DIALYSIS CENTER
  • Facility Address: 330 S LOLA LN STE 100
    PAHRUMP, NV
    ZIP 89048
  • Facility Phone: 775 751-4300
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MARK VISHNEPOLSKY
  • NPI Number: 1023385309
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 29D0984238
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PAHRUMP DIALYSIS CENTER
Street 330 S LOLA LN STE 100
City PAHRUMP
State NV
ZIP 89048
Phone 775 751-4300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2024
Certificate Expiration Date 8/25/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MARK VISHNEPOLSKY

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