50D2135370 CLIA NUMBER - COOKS HILL DIALYSIS

Laboratory Demographics

  • CLIA Code: 50D2135370
  • Facility Name: COOKS HILL DIALYSIS
  • Facility Address: 1815 COOKS HILL RD
    CENTRALIA, WA
    ZIP 98531
  • Facility Phone: 360 736-1188
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: TSERING DHONDUP
  • NPI Number: 1396265351
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2135370
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name COOKS HILL DIALYSIS
Street 1815 COOKS HILL RD
City CENTRALIA
State WA
ZIP 98531
Phone 360 736-1188
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2017
Certificate Expiration Date 4/4/2028
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director TSERING DHONDUP

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