38D2180644 CLIA NUMBER - GLEN CREEK DIALYSIS

Laboratory Demographics

  • CLIA Code: 38D2180644
  • Facility Name: GLEN CREEK DIALYSIS
  • Facility Address: 645 9TH ST NW, SUITE 145
    SALEM, OR
    ZIP 97304
  • Facility Phone: 503 365-6316
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANDREEA ANDONE
  • NPI Number: 1659839181
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2180644
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name GLEN CREEK DIALYSIS
Street 645 9TH ST NW, SUITE 145
City SALEM
State OR
ZIP 97304
Phone 503 365-6316
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANDREEA ANDONE

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