38D0955775 CLIA NUMBER - PNRS EASTERN OREGON DIALYSIS CLINIC

Laboratory Demographics

  • CLIA Code: 38D0955775
  • Facility Name: PNRS EASTERN OREGON DIALYSIS CLINIC
  • Facility Address: 10601 S WALTON RD
    ISLAND CITY, OR
    ZIP 97850
  • Facility Phone: 541 663-8420
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: THOMAS PINTAR
  • NPI Number: 1164534061
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D0955775
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PNRS EASTERN OREGON DIALYSIS CLINIC
Street 10601 S WALTON RD
City ISLAND CITY
State OR
ZIP 97850
Phone 541 663-8420
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 THOMAS PINTAR

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