50D1093179 CLIA NUMBER - GRAHAM DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 50D1093179
  • Facility Name: GRAHAM DIALYSIS CENTER
  • Facility Address: 10224 196TH STREET CT E STE 300
    GRAHAM, WA
    ZIP 98338
  • Facility Phone: 253 387-5382
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MOHAMMED H. BACCORA
  • NPI Number: 1780836759
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D1093179
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GRAHAM DIALYSIS CENTER
Street 10224 196TH STREET CT E STE 300
City GRAHAM
State WA
ZIP 98338
Phone 253 387-5382
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 MOHAMMED H. BACCORA

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