38D2244248 CLIA NUMBER - YAQUINA BAY DIALYSIS

Laboratory Demographics

  • CLIA Code: 38D2244248
  • Facility Name: YAQUINA BAY DIALYSIS
  • Facility Address: 957 SW COAST HWY
    NEWPORT, OR
    ZIP 97365
  • Facility Phone: 541 283-3798
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: TYLER M. ANDREA
  • NPI Number: 1790455012
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2244248
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name YAQUINA BAY DIALYSIS
Street 957 SW COAST HWY
City NEWPORT
State OR
ZIP 97365
Phone 541 283-3798
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director TYLER M. ANDREA

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