50D2063067 CLIA NUMBER - ZILLAH DIALYSIS

Laboratory Demographics

  • CLIA Code: 50D2063067
  • Facility Name: ZILLAH DIALYSIS
  • Facility Address: 823 ZILLAH WEST RD STE 300
    ZILLAH, WA
    ZIP 98953
  • Facility Phone: 509 829-0209
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: NAVEEN RAVIKUMAR
  • NPI Number: 1659718781
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2063067
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ZILLAH DIALYSIS
Street 823 ZILLAH WEST RD STE 300
City ZILLAH
State WA
ZIP 98953
Phone 509 829-0209
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2013
Certificate Expiration Date 4/4/2028
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director NAVEEN RAVIKUMAR

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