38D0627030 CLIA NUMBER - BAY CLINIC LLP

Laboratory Demographics

  • CLIA Code: 38D0627030
  • Facility Name: BAY CLINIC LLP
  • Facility Address: 1750 THOMPSON RD
    COOS BAY, OR
    ZIP 97420
  • Facility Phone: 541 269-0333
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEPHAN J. GROTH
  • NPI Number: 1538174958
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 38D0627030
LAB Type Physician Office
Facility Name BAY CLINIC LLP
Street 1750 THOMPSON RD
City COOS BAY
State OR
ZIP 97420
Phone 541 269-0333
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/4/2024
Certificate Expiration Date 8/3/2026
Facility Type Physician Office
Lab Director STEPHAN J. GROTH

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