38D0626284 CLIA NUMBER - COASTAL HEALTH PRACTICTIONERS

Laboratory Demographics

CLIA Number: 38D0626284

Facility Name: COASTAL HEALTH PRACTICTIONERS

Facility Address:
3015 W DEVILS LAKE RD
LINCOLN CITY, OR
ZIP 97367
Get Directions

Facility Phone Number: 541 994-6214

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1053454355

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	38D0626284
LAB Type	Physician Office
Facility Name	COASTAL HEALTH PRACTICTIONERS
Street	3015 W DEVILS LAKE RD
City	LINCOLN CITY
State	OR
ZIP	97367
Phone	541 994-6214
CertificateType	3
CertificateEffectiveDate	1/1/2024
CertificateExpirationDate	12/31/2025
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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