38D2314524 CLIA NUMBER - OCEAN MEDICAL

Laboratory Demographics

  • CLIA Code: 38D2314524
  • Facility Name: OCEAN MEDICAL
  • Facility Address: 4488 NE DEVILS LAKE BLVD
    LINCOLN CITY, OR
    ZIP 97367
  • Facility Phone: 541 614-0407
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ELISA D. GARRETT
  • NPI Number: 1902615677
  • Taxonomy: 363LG0600X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 38D2314524
LAB Type Practitioner Other
Facility Name OCEAN MEDICAL
Street 4488 NE DEVILS LAKE BLVD
City LINCOLN CITY
State OR
ZIP 97367
Phone 541 614-0407
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2024
Certificate Expiration Date 11/20/2026
Facility Type Practitioner Other
Lab Director ELISA D. GARRETT

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