38D0870066 CLIA NUMBER - FRESENIUS MEDICAL CARE CLACKAMAS

Laboratory Demographics

  • CLIA Code: 38D0870066
  • Facility Name: FRESENIUS MEDICAL CARE CLACKAMAS
  • Facility Address: 13560 SE 97TH AVE
    CLACKAMAS, OR
    ZIP 97015
  • Facility Phone: 503 659-8200
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: PAUL PETERSEN
  • NPI Number: 1306180476
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D0870066
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS MEDICAL CARE CLACKAMAS
Street 13560 SE 97TH AVE
City CLACKAMAS
State OR
ZIP 97015
Phone 503 659-8200
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 PAUL PETERSEN

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