50D2108606 CLIA NUMBER - BATTLE GROUND DIALYSIS

Laboratory Demographics

  • CLIA Code: 50D2108606
  • Facility Name: BATTLE GROUND DIALYSIS
  • Facility Address: 720 W MAIN ST STE 112
    BATTLE GROUND, WA
    ZIP 98604
  • Facility Phone: 360 687-4677
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: BINAYA KHANAL
  • NPI Number: 1679942874
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2108606
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name BATTLE GROUND DIALYSIS
Street 720 W MAIN ST STE 112
City BATTLE GROUND
State WA
ZIP 98604
Phone 360 687-4677
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2016
Certificate Expiration Date 4/4/2028
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director BINAYA KHANAL

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