50D2151980 CLIA NUMBER - WAPATO DIALYSIS

Laboratory Demographics

  • CLIA Code: 50D2151980
  • Facility Name: WAPATO DIALYSIS
  • Facility Address: 502 W 1ST ST
    WAPATO, WA
    ZIP 98951
  • Facility Phone: 509 877-2085
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: VAMSI KANNEGANTI
  • NPI Number: 1639674286
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2151980
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WAPATO DIALYSIS
Street 502 W 1ST ST
City WAPATO
State WA
ZIP 98951
Phone 509 877-2085
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2018
Certificate Expiration Date 4/4/2028
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director VAMSI KANNEGANTI

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