38D0656831 CLIA NUMBER - PNRS HOLLYWOOD DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 38D0656831
  • Facility Name: PNRS HOLLYWOOD DIALYSIS CENTER
  • Facility Address: 2824 NE WASCO STREET, STE 100
    PORTLAND, OR
    ZIP 97232
  • Facility Phone: 503 493-8227
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CLAIRE KASSAKIAN
  • NPI Number: 1255443156
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D0656831
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PNRS HOLLYWOOD DIALYSIS CENTER
Street 2824 NE WASCO STREET, STE 100
City PORTLAND
State OR
ZIP 97232
Phone 503 493-8227
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CLAIRE KASSAKIAN

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