38D2314358 CLIA NUMBER - TILLAMOOK KIDNEY CENTER

Laboratory Demographics

  • CLIA Code: 38D2314358
  • Facility Name: TILLAMOOK KIDNEY CENTER
  • Facility Address: 1000 3RD ST
    TILLAMOOK, OR
    ZIP 97141
  • Facility Phone: 816 509-8559
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: NICOLE KEMPER
  • NPI Number: 1952129470
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2314358
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name TILLAMOOK KIDNEY CENTER
Street 1000 3RD ST
City TILLAMOOK
State OR
ZIP 97141
Phone 816 509-8559
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director NICOLE KEMPER

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