38D2052878 CLIA NUMBER - CANNON BEACH FIRE AND RESCUE

Laboratory Demographics

  • CLIA Code: 38D2052878
  • Facility Name: CANNON BEACH FIRE AND RESCUE
  • Facility Address: 188 SUNSET BLVD
    CANNON BEACH, OR
    ZIP 97110
  • Facility Phone: 503 436-2949
  • Facility Type: Other - RFPD
  • Facility Type: Waiver
  • Lab Director: MARC RECKMANN
  • NPI Number: 1134383920
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2052878
LAB Type Other - RFPD
Facility Name CANNON BEACH FIRE AND RESCUE
Street 188 SUNSET BLVD
City CANNON BEACH
State OR
ZIP 97110
Phone 503 436-2949
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Other - RFPD
Lab Director MARC RECKMANN

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