38D2109825 CLIA NUMBER - LANCASTER DRIVE DIALYSIS

Laboratory Demographics

  • CLIA Code: 38D2109825
  • Facility Name: LANCASTER DRIVE DIALYSIS
  • Facility Address: 421 LANCASTER DR NE
    SALEM, OR
    ZIP 97301
  • Facility Phone: 503 581-6236
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MARK A. CABRERA
  • NPI Number: 1225375207
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 38D2109825
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LANCASTER DRIVE DIALYSIS
Street 421 LANCASTER DR NE
City SALEM
State OR
ZIP 97301
Phone 503 581-6236
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2024
Certificate Expiration Date 3/1/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MARK A. CABRERA

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