38D2092875 CLIA NUMBER - PORTLAND MLK DIALYSIS

Laboratory Demographics

  • CLIA Code: 38D2092875
  • Facility Name: PORTLAND MLK DIALYSIS
  • Facility Address: 2737 NE MARTIN LUTHER KING JR BLVD
    PORTLAND, OR
    ZIP 97212
  • Facility Phone: 503 282-1253
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MINDY TSENG
  • NPI Number: 1770980401
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2092875
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PORTLAND MLK DIALYSIS
Street 2737 NE MARTIN LUTHER KING JR BLVD
City PORTLAND
State OR
ZIP 97212
Phone 503 282-1253
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MINDY TSENG

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