38D0898404 CLIA NUMBER - RSA PORTLAND LLC DBA US RENAL CARE PORTLAND DIALYSIS

Laboratory Demographics

  • CLIA Code: 38D0898404
  • Facility Name: RSA PORTLAND LLC DBA US RENAL CARE PORTLAND DIALYSIS
  • Facility Address: 10595 SE STARK
    PORTLAND, OR
    ZIP 97216
  • Facility Phone: 503 252-0019
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JULIE RAGGIO MD
  • NPI Number: 1629253711
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D0898404
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RSA PORTLAND LLC DBA US RENAL CARE PORTLAND DIALYSIS
Street 10595 SE STARK
City PORTLAND
State OR
ZIP 97216
Phone 503 252-0019
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 JULIE RAGGIO MD

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