50D2301248 CLIA NUMBER - COWLITZ DIALYSIS

Laboratory Demographics

  • CLIA Code: 50D2301248
  • Facility Name: COWLITZ DIALYSIS
  • Facility Address: 467 BEECHWOOD ST
    WOODLAND, WA
    ZIP 98674
  • Facility Phone: 615 341-6282
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANDREW REZNICK
  • NPI Number: 1518746049
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 50D2301248
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name COWLITZ DIALYSIS
Street 467 BEECHWOOD ST
City WOODLAND
State WA
ZIP 98674
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 3/22/2024
Certificate Expiration Date 4/4/2028
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANDREW REZNICK

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