38D1052682 CLIA NUMBER - PNRS-NEWBERG

Laboratory Demographics

  • CLIA Code: 38D1052682
  • Facility Name: PNRS-NEWBERG
  • Facility Address: 3100 HAWORTH AVE
    NEWBERG, OR
    ZIP 97132
  • Facility Phone: 503 537-0100
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MITCHELL HAWKEY
  • NPI Number: 1154364875
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D1052682
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PNRS-NEWBERG
Street 3100 HAWORTH AVE
City NEWBERG
State OR
ZIP 97132
Phone 503 537-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2024
Certificate Expiration Date 3/30/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MITCHELL HAWKEY

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