50D2096480 CLIA NUMBER - MASON COUNTY DIALYSIS

Laboratory Demographics

  • CLIA Code: 50D2096480
  • Facility Name: MASON COUNTY DIALYSIS
  • Facility Address: 1930 OLYMPIC HWY N
    SHELTON, WA
    ZIP 98584
  • Facility Phone: 360 275-0141
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DMITRI VASIN
  • NPI Number: 1548247927
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 50D2096480
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MASON COUNTY DIALYSIS
Street 1930 OLYMPIC HWY N
City SHELTON
State WA
ZIP 98584
Phone 360 275-0141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2015
Certificate Expiration Date 4/4/2028
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DMITRI VASIN

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