50D0951270 CLIA NUMBER - PNRS-SALMON CREEK DIALYSIS

Laboratory Demographics

  • CLIA Code: 50D0951270
  • Facility Name: PNRS-SALMON CREEK DIALYSIS
  • Facility Address: 9105 HIGHWAY 99 STE 102A
    VANCOUVER, WA
    ZIP 98665
  • Facility Phone: (360) 576-1350
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CHARLES PLAMP
  • NPI Number: 1154423317
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D0951270
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PNRS-SALMON CREEK DIALYSIS
Street 9105 HIGHWAY 99 STE 102A
City VANCOUVER
State WA
ZIP 98665
Phone 3605761350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/1998
Certificate Expiration Date 4/4/2028
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CHARLES PLAMP

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This page was last updated on: 5/18/2026