38D1045831 CLIA NUMBER - KEVIN BAXTER DO PC DBA BAXTER FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 38D1045831
  • Facility Name: KEVIN BAXTER DO PC DBA BAXTER FAMILY MEDICINE
  • Facility Address: 10 PIER 1 STE 301
    ASTORIA, OR
    ZIP 97103
  • Facility Phone: 503 741-3570
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN BAXTER
  • NPI Number: 1780681080
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D1045831
LAB Type Physician Office
Facility Name KEVIN BAXTER DO PC DBA BAXTER FAMILY MEDICINE
Street 10 PIER 1 STE 301
City ASTORIA
State OR
ZIP 97103
Phone 503 741-3570
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Physician Office
Lab Director KEVIN BAXTER

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