38D2056624 CLIA NUMBER - WARRENTON PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 38D2056624
  • Facility Name: WARRENTON PRIMARY CARE
  • Facility Address: 1639 ENSIGN LN SUITE B103
    WARRENTON, OR
    ZIP 97146
  • Facility Phone: 503 338-4500
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: HELEN KIM
  • NPI Number: 1154428902
  • Taxonomy: 332000000X - Military/U.S. Coast Guard Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 38D2056624
LAB Type Physician Office
Facility Name WARRENTON PRIMARY CARE
Street 1639 ENSIGN LN SUITE B103
City WARRENTON
State OR
ZIP 97146
Phone 503 338-4500
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 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director HELEN KIM

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