38D0913044 CLIA NUMBER - WILLAMETTE VALLEY RENAL CENTER

Laboratory Demographics

  • CLIA Code: 38D0913044
  • Facility Name: WILLAMETTE VALLEY RENAL CENTER
  • Facility Address: 1510 DIVISION ST, SUITE 90
    OREGON CITY, OR
    ZIP 97045
  • Facility Phone: 503 557-1373
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: FIRAS KHOURY
  • NPI Number: 1023064474
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D0913044
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WILLAMETTE VALLEY RENAL CENTER
Street 1510 DIVISION ST, SUITE 90
City OREGON CITY
State OR
ZIP 97045
Phone 503 557-1373
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 FIRAS KHOURY

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