50D1093178 CLIA NUMBER - OLYMPIA DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 50D1093178
  • Facility Name: OLYMPIA DIALYSIS CENTER
  • Facility Address: 335 COOPER PT RD NW STE 105
    OLYMPIA, WA
    ZIP 98502
  • Facility Phone: 360 357-6198
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: NIRANJAN SIVAKUMAR
  • NPI Number: 1578715710
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D1093178
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name OLYMPIA DIALYSIS CENTER
Street 335 COOPER PT RD NW STE 105
City OLYMPIA
State WA
ZIP 98502
Phone 360 357-6198
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2008
Certificate Expiration Date 4/4/2028
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director NIRANJAN SIVAKUMAR

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