38D1058639 CLIA NUMBER - MERIDIAN PARK DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 38D1058639
  • Facility Name: MERIDIAN PARK DIALYSIS CENTER
  • Facility Address: 19255 SW 65TH AVENUE SUITE 100
    TUALATIN, OR
    ZIP 97062
  • Facility Phone: (503) 692-8159
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: FIRAS KHOURY MD

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CLIA Record

Field Name Field Value
CLIA Number 38D1058639
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MERIDIAN PARK DIALYSIS CENTER
Street 19255 SW 65TH AVENUE SUITE 100
City TUALATIN
State OR
ZIP 97062
Phone 5036928159
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director FIRAS KHOURY MD

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This page was last updated on: 5/18/2026