38D0941227 CLIA NUMBER - GLENEDEN BEACH MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 38D0941227
  • Facility Name: GLENEDEN BEACH MEDICAL CENTER
  • Facility Address: PO BOX 279
    GLENEDEN BEACH, OR
    ZIP 97388
  • Facility Phone: 541 764-3360
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VINJAMURI K. VINDD
  • NPI Number: 1508873779
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D0941227
LAB Type Physician Office
Facility Name GLENEDEN BEACH MEDICAL CENTER
Street PO BOX 279
City GLENEDEN BEACH
State OR
ZIP 97388
Phone 541 764-3360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Physician Office
Lab Director VINJAMURI K. VINDD

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