38D2172051 CLIA NUMBER - SEASIDE PRIMARY CARE CLINIC

Laboratory Demographics

  • CLIA Code: 38D2172051
  • Facility Name: SEASIDE PRIMARY CARE CLINIC
  • Facility Address: 1111 NORTH ROOSEVELT DR SUITE 210
    SEASIDE, OR
    ZIP 97138
  • Facility Phone: 360 636-8760
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: MARIA ZAYKO
  • NPI Number: 1780882126
  • Taxonomy: 156FX1800X - Technician/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 38D2172051
LAB Type Rural Health Clinic
Facility Name SEASIDE PRIMARY CARE CLINIC
Street 1111 NORTH ROOSEVELT DR SUITE 210
City SEASIDE
State OR
ZIP 97138
Phone 360 636-8760
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Rural Health Clinic
Lab Director MARIA ZAYKO

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