38D2303834 CLIA NUMBER - IRC-RENASOLVE ROSEBURG JOINT VENTURE, LLC

Laboratory Demographics

  • CLIA Code: 38D2303834
  • Facility Name: IRC-RENASOLVE ROSEBURG JOINT VENTURE, LLC
  • Facility Address: 171 NW MEDICAL LOOP, SUITE 109
    ROSEBURG, OR
    ZIP 97471
  • Facility Phone: 541 900-6910
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RUBIN CHANDRAN
  • NPI Number: 1245085836
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2303834
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name IRC-RENASOLVE ROSEBURG JOINT VENTURE, LLC
Street 171 NW MEDICAL LOOP, SUITE 109
City ROSEBURG
State OR
ZIP 97471
Phone 541 900-6910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RUBIN CHANDRAN

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