50D0709370 CLIA NUMBER - PUGET SOUND KIDNEY CENTER

Laboratory Demographics

  • CLIA Code: 50D0709370
  • Facility Name: PUGET SOUND KIDNEY CENTER
  • Facility Address: 1005 PACIFIC AVE
    EVERETT, WA
    ZIP 98201
  • Facility Phone: 425 259-5195
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RAGHU DURVASULA
  • NPI Number: 1295855013
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D0709370
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PUGET SOUND KIDNEY CENTER
Street 1005 PACIFIC AVE
City EVERETT
State WA
ZIP 98201
Phone 425 259-5195
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/1997
Certificate Expiration Date 4/4/2028
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RAGHU DURVASULA

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