38D2163066 CLIA NUMBER - FRESENIUS KIDNEY CARE TUALATIN

Laboratory Demographics

CLIA Number: 38D2163066

Facility Name: FRESENIUS KIDNEY CARE TUALATIN

Facility Address:
8050 SW WARM SPRINGS STREET, SUITE 120
TUALATIN, OR
ZIP 97062
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Facility Phone Number: 503 612-1254

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1528410891

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	38D2163066
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	FRESENIUS KIDNEY CARE TUALATIN
Street	8050 SW WARM SPRINGS STREET, SUITE 120
City	TUALATIN
State	OR
ZIP	97062
Phone	503 612-1254
CertificateType	4
CertificateEffectiveDate	3/6/2023
CertificateExpirationDate	3/5/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024