38D2104375 CLIA NUMBER - SIGNATURE COASTAL, LLC

Laboratory Demographics

CLIA Number: 38D2104375

Facility Name: SIGNATURE COASTAL, LLC

Facility Address:
798 SE HIGHWAY 101
LINCOLN CITY, OR
ZIP 97367
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Facility Phone Number: 541 264-7823

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1508463274

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	38D2104375
LAB Type	Home Health Agency
Facility Name	SIGNATURE COASTAL, LLC
Street	798 SE HIGHWAY 101
City	LINCOLN CITY
State	OR
ZIP	97367
Phone	541 264-7823
CertificateType	4
CertificateEffectiveDate	11/3/2023
CertificateExpirationDate	11/2/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024