50D2209781 CLIA NUMBER - TRI-STATE DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 50D2209781
  • Facility Name: TRI-STATE DIALYSIS CENTER
  • Facility Address: 1221 HIGHLAND AVE
    CLARKSTON, WA
    ZIP 99403
  • Facility Phone: 509 758-4656
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MEHERETAB FELEKE
  • NPI Number: 1760485221
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 50D2209781
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TRI-STATE DIALYSIS CENTER
Street 1221 HIGHLAND AVE
City CLARKSTON
State WA
ZIP 99403
Phone 509 758-4656
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2021
Certificate Expiration Date 4/4/2028
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MEHERETAB FELEKE

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