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DVA RENAL HEALTHCARE INC
NPI 1750709838
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Tacoma, WA

Active since April 04, 2014CLIA 04D1004570 · Waiver
1423 PACIFIC AVE, TACOMA, WA 98402(253) 382-1752 Get Directions Write a Review

NPPES record last updated: April 4, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dva Renal Healthcare Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DVA RENAL HEALTHCARE INC (NPI 1750709838) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Tacoma, Washington and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through September 30, 2026 and lists Kent Thiry, Ceo, as its authorized official.

NPPES Registry Identity

NPI1750709838
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameCENTRAL LITTLE ROCK DIALYSIS
Location Address1423 PACIFIC AVETacoma, WA 98402-4203
Mailing Address6 Freeway Dr, Ste 100Little Rock, AR 72204-2486 · (501) 664-6754
Phone(253) 382-1752
Organization SubpartNo
Authorized OfficialKent ThiryCeo · (303) 876-6000
Enumeration DateApril 4, 2014
✔ NPI 1750709838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
Licenses✔ Licensed in AR · 04D1004570✔ Licensed in AR · 1376516039
1423 PACIFIC AVE, Tacoma, WA 98402
Open in Google Maps ↗

Other Names 1

Other NameDva Renal Healthcare Inc

Other Identifiers 1

Medicaid150329734AR

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 04D1004570

Central Little Rock Dialysis · Little Rock, AR
Active · expires Sep 30, 2026
CLIA Number04D1004570
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateOctober 1, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorDr. Vikas Vujjini
Laboratory Phone(501) 661-7930
Laboratory LocationCentral Little Rock Dialysis6 Freeway Dr, Ste #100, Little Rock, AR 72204
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTH LITTLE ROCK DIALYSIS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 382-1752
QUACHITA DIALYSIS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 382-1752
MENA DIALYSIS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 382-1752
FAYETTEVILLE DIALYSIS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 382-1752
ASHLEY DIALYSIS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 382-1752
BRADLEY COUNTY DIALYSIS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 382-1752
DEGRAY DIALYSIS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 382-1752
SPRINGHILL DIALYSIS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1423 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 382-1752

Frequently 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 Central Little Rock Dialysis's NPI number?

The NPI number for Central Little Rock Dialysis is 1750709838. It was assigned to this organization in the NPPES registry on April 4, 2014. The provider is also known as DVA Renal Healthcare Inc.

Where is Central Little Rock Dialysis located?

Central Little Rock Dialysis is located at 1423 Pacific Ave, Tacoma, WA 98402. The listed phone number is (253) 382-1752.

What is Central Little Rock Dialysis'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 Central Little Rock Dialysis hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D1004570) is associated with this NPI, valid through September 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Central Little Rock Dialysis was last updated on April 4, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.