38D2243917 CLIA NUMBER - BASTION HEALTH PROFESSIONAL CORPORATION DBA CROWN HEALTH

Laboratory Demographics

  • CLIA Code: 38D2243917
  • Facility Name: BASTION HEALTH PROFESSIONAL CORPORATION DBA CROWN HEALTH
  • Facility Address: 650 NE HOLLADAY ST, STE 1600
    PORTLAND, OR
    ZIP 97232
  • Facility Phone: 888 674-5871
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: AMY M. WARNER
  • NPI Number: 1750921193
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D2243917
LAB Type Practitioner Other
Facility Name BASTION HEALTH PROFESSIONAL CORPORATION DBA CROWN HEALTH
Street 650 NE HOLLADAY ST, STE 1600
City PORTLAND
State OR
ZIP 97232
Phone 888 674-5871
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2023
Certificate Expiration Date 11/22/2025
Facility Type Practitioner Other
Lab Director AMY M. WARNER

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