50D2049284 CLIA NUMBER - WENATCHEE VALLEY DIALYSIS

Laboratory Demographics

  • CLIA Code: 50D2049284
  • Facility Name: WENATCHEE VALLEY DIALYSIS
  • Facility Address: 116 OLDS STATION RD
    WENATCHEE, WA
    ZIP 98801
  • Facility Phone: 509 662-0385
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: LUIS BENT-SHAW
  • NPI Number: 1073870523
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2049284
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WENATCHEE VALLEY DIALYSIS
Street 116 OLDS STATION RD
City WENATCHEE
State WA
ZIP 98801
Phone 509 662-0385
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2012
Certificate Expiration Date 4/4/2028
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director LUIS BENT-SHAW

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