50D2282461 CLIA NUMBER - FERNDALE DIALYSIS

Laboratory Demographics

  • CLIA Code: 50D2282461
  • Facility Name: FERNDALE DIALYSIS
  • Facility Address: 1859 MAIN ST STE 103
    FERNDALE, WA
    ZIP 98248
  • Facility Phone: 615 341-6282
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MARY LOTFI
  • NPI Number: 1952096562
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2282461
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FERNDALE DIALYSIS
Street 1859 MAIN ST STE 103
City FERNDALE
State WA
ZIP 98248
Phone 615 341-6282
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2023
Certificate Expiration Date 4/4/2028
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MARY LOTFI

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This page was last updated on: 6/4/2025