50D1099432 CLIA NUMBER - MILL CREEK DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 50D1099432
  • Facility Name: MILL CREEK DIALYSIS CENTER
  • Facility Address: 18001 BOTHELL EVERETT HWY
    BOTHELL, WA
    ZIP 98012
  • Facility Phone: 425 481-5258
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CJ KUAN
  • NPI Number: 1790928802
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 50D1099432
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MILL CREEK DIALYSIS CENTER
Street 18001 BOTHELL EVERETT HWY
City BOTHELL
State WA
ZIP 98012
Phone 425 481-5258
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/13/2009
Certificate Expiration Date 4/4/2028
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CJ KUAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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