38D0955773 CLIA NUMBER - PNRS NORTH COAST DIALYSIS CLINIC

Laboratory Demographics

  • CLIA Code: 38D0955773
  • Facility Name: PNRS NORTH COAST DIALYSIS CLINIC
  • Facility Address: 632 MARINE DRIVE
    ASTORIA, OR
    ZIP 97103
  • Facility Phone: 971 606-6015
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: NICOLE BROWN
  • NPI Number: 1073625976
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D0955773
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PNRS NORTH COAST DIALYSIS CLINIC
Street 632 MARINE DRIVE
City ASTORIA
State OR
ZIP 97103
Phone 971 606-6015
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 NICOLE BROWN

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