50D2117459 CLIA NUMBER - RENTON DIALYSIS

Laboratory Demographics

  • CLIA Code: 50D2117459
  • Facility Name: RENTON DIALYSIS
  • Facility Address: 4110 NE 4TH ST STE E
    RENTON, WA
    ZIP 98059
  • Facility Phone: 425 225-2408
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: PHILLIP KING
  • NPI Number: 1093162414
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2117459
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RENTON DIALYSIS
Street 4110 NE 4TH ST STE E
City RENTON
State WA
ZIP 98059
Phone 425 225-2408
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2016
Certificate Expiration Date 4/4/2028
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director PHILLIP KING

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