38D0704384 CLIA NUMBER - QUALICENTERS ALBANY LABORATORY

Laboratory Demographics

  • CLIA Code: 38D0704384
  • Facility Name: QUALICENTERS ALBANY LABORATORY
  • Facility Address: 605 HICKORY ST NW
    ALBANY, OR
    ZIP 97321
  • Facility Phone: (541) 928-1749
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANTHONY DE MORY
  • NPI Number: 1467564260
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D0704384
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name QUALICENTERS ALBANY LABORATORY
Street 605 HICKORY ST NW
City ALBANY
State OR
ZIP 97321
Phone 5419281749
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2026
Certificate Expiration Date 12/31/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANTHONY DE MORY

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This page was last updated on: 5/18/2026