38D0691668 CLIA NUMBER - NEHALEM BAY HEALTH CENTER & PHARMACY

Laboratory Demographics

CLIA Number: 38D0691668

Facility Name: NEHALEM BAY HEALTH CENTER & PHARMACY

Facility Address:
230 ROWE ST
WHEELER, OR
ZIP 97147
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Facility Phone Number: 800 368-5182

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1811569387

Taxonomy: 261QS1000X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	38D0691668
LAB Type	Physician Office
Facility Name	NEHALEM BAY HEALTH CENTER & PHARMACY
Street	230 ROWE ST
City	WHEELER
State	OR
ZIP	97147
Phone	800 368-5182
CertificateType	4
CertificateEffectiveDate	1/1/2024
CertificateExpirationDate	12/31/2025
FacilityType	Waiver

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