38D2093404 CLIA NUMBER - PROVIDENCE ASTORIA HEART CLINIC

Laboratory Demographics

  • CLIA Code: 38D2093404
  • Facility Name: PROVIDENCE ASTORIA HEART CLINIC
  • Facility Address: 1355 EXCHANGE ST
    ASTORIA, OR
    ZIP 97103
  • Facility Phone: 503 717-7850
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT W. MORSE
  • NPI Number: 1851657035
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2093404
LAB Type Physician Office
Facility Name PROVIDENCE ASTORIA HEART CLINIC
Street 1355 EXCHANGE ST
City ASTORIA
State OR
ZIP 97103
Phone 503 717-7850
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Physician Office
Lab Director DR. ROBERT W. MORSE

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