50D2255790 CLIA NUMBER - MONUMENT HILL DIALYSIS

Laboratory Demographics

  • CLIA Code: 50D2255790
  • Facility Name: MONUMENT HILL DIALYSIS
  • Facility Address: 900 13TH AVE SW STE A
    QUINCY, WA
    ZIP 98848
  • Facility Phone: 509 794-0746
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: LUIS BENT-SHAW
  • NPI Number: 1568128494
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2255790
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MONUMENT HILL DIALYSIS
Street 900 13TH AVE SW STE A
City QUINCY
State WA
ZIP 98848
Phone 509 794-0746
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2022
Certificate Expiration Date 4/4/2028
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director LUIS BENT-SHAW

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