50D2199478 CLIA NUMBER - LAKE TAPPS DIALYSIS

Laboratory Demographics

  • CLIA Code: 50D2199478
  • Facility Name: LAKE TAPPS DIALYSIS
  • Facility Address: 16290 AUTO LN
    SUMNER, WA
    ZIP 98390
  • Facility Phone: 253 470-0188
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ZHENG GE
  • NPI Number: 1720690506
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2199478
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LAKE TAPPS DIALYSIS
Street 16290 AUTO LN
City SUMNER
State WA
ZIP 98390
Phone 253 470-0188
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2020
Certificate Expiration Date 4/4/2028
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ZHENG GE

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