50D1008345 CLIA NUMBER - YAKIMA DIALYSIS CENTER

Laboratory Demographics

CLIA Number: 50D1008345

Facility Name: YAKIMA DIALYSIS CENTER

Facility Address:
1221 NORTH 16TH AVENUE
YAKIMA, WA
ZIP 98902
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Facility Phone Number: 509 457-8333

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1831153980

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	50D1008345
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	YAKIMA DIALYSIS CENTER
Street	1221 NORTH 16TH AVENUE
City	YAKIMA
State	WA
ZIP	98902
Phone	509 457-8333
CertificateType	4
CertificateEffectiveDate	1/17/2003
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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This page was last updated on: 4/23/2024