38D0965607 CLIA NUMBER - THC / PNRS RAINES DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 38D0965607
  • Facility Name: THC / PNRS RAINES DIALYSIS CENTER
  • Facility Address: 3201 19TH AVENUE
    FOREST GROVE, OR
    ZIP 97116
  • Facility Phone: 503 359-0593
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KENDALL BEATTY
  • NPI Number: 1982716882
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D0965607
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name THC / PNRS RAINES DIALYSIS CENTER
Street 3201 19TH AVENUE
City FOREST GROVE
State OR
ZIP 97116
Phone 503 359-0593
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 KENDALL BEATTY

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