38D0970893 CLIA NUMBER - PNRS MCMINNVILLE KIDNEY CENTER

Laboratory Demographics

  • CLIA Code: 38D0970893
  • Facility Name: PNRS MCMINNVILLE KIDNEY CENTER
  • Facility Address: 345 SE NORTON LANE SUITE B
    MCMINNVILLE, OR
    ZIP 97128
  • Facility Phone: 503 474-2680
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CHRISTINA MEHANNI
  • NPI Number: 1992895494
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D0970893
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PNRS MCMINNVILLE KIDNEY CENTER
Street 345 SE NORTON LANE SUITE B
City MCMINNVILLE
State OR
ZIP 97128
Phone 503 474-2680
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CHRISTINA MEHANNI

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