38D2110297 CLIA NUMBER - SILVER FALLS DERMATOLOGY ASTORIA

Laboratory Demographics

  • CLIA Code: 38D2110297
  • Facility Name: SILVER FALLS DERMATOLOGY ASTORIA
  • Facility Address: 2120 EXCHANGE ST SUITE 202
    ASTORIA, OR
    ZIP 97103
  • Facility Phone: 503 362-8385
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANGELA BOHLKE MD
  • NPI Number: 1134375421
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 38D2110297
LAB Type Physician Office
Facility Name SILVER FALLS DERMATOLOGY ASTORIA
Street 2120 EXCHANGE ST SUITE 202
City ASTORIA
State OR
ZIP 97103
Phone 503 362-8385
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 10/17/2025
Certificate Expiration Date 10/16/2027
Facility Type Physician Office
Lab Director ANGELA BOHLKE MD

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