LEWIS-CLARK KIDNEY CENTER LLC
NPI 1457749475
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Lewiston, ID
About Lewis-clark Kidney Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEWIS-CLARK KIDNEY CENTER LLC (NPI 1457749475) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Lewiston, Idaho and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through February 25, 2027 and lists Sara Anne Brady, Chief Nursing Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 13D2092101
Lewis-Clark Kidney Center, LLC · Lewiston, IDFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lewis-Clark Kidney Center LLC's NPI number?
The NPI number for Lewis-Clark Kidney Center LLC is 1457749475. It was assigned to this organization in the NPPES registry on December 29, 2014.
Where is Lewis-Clark Kidney Center LLC located?
Lewis-Clark Kidney Center LLC is located at 2116 12th Ave, Lewiston, ID 83501. The listed phone number is (208) 743-0662.
What is Lewis-Clark Kidney Center LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.
Does Lewis-Clark Kidney Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 13D2092101) is associated with this NPI, valid through February 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Lewis-Clark Kidney Center LLC accept?
Health plans from UnitedHealthcare list Lewis-Clark Kidney Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lewis-Clark Kidney Center LLC was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lewis-Clark Kidney Center Llc · NPI 1457749475
End-Stage Renal Disease (ESRD) Treatment organization in Lewiston, Idaho. Organization record, active in the CMS NPPES registry since December 29, 2014.
## Identity
- **NPI:** 1457749475 (Entity type: Organization)
- **Enumerated:** December 29, 2014
- **Primary specialty:** Clinic/Center - End-Stage Renal Disease (ESRD) Treatment · taxonomy 261QE0700X
- **Organization subpart:** No
- **Authorized official:** Sara Brady, CHIEF NURSING OFFICER
## Practice location
- **Address:** 2116 12TH AVE, Lewiston, ID 83501-3502
- **Phone:** (208) 743-0662 · **Fax:** (208) 743-0677
## Record status
- **NPPES last updated:** July 6, 2026
- **Other identifiers:** Medicaid 1457749475 (ID)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1457749475) · Data from the CMS NPPES public registry.