50D0891183 CLIA NUMBER - MT ADAMS KIDNEY CENTER

Laboratory Demographics

  • CLIA Code: 50D0891183
  • Facility Name: MT ADAMS KIDNEY CENTER
  • Facility Address: 3220 PICARD PLACE
    SUNNYSIDE, WA
    ZIP 98944
  • Facility Phone: 509 837-2013
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: VAMSI KANNEGANTI
  • NPI Number: 1225092364
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D0891183
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MT ADAMS KIDNEY CENTER
Street 3220 PICARD PLACE
City SUNNYSIDE
State WA
ZIP 98944
Phone 509 837-2013
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2000
Certificate Expiration Date 4/4/2028
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director VAMSI KANNEGANTI

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