CLIA lab
CLIA 38D0939584: Providence Cannon Beach Clinic
Cannon Beach, OR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 38D0939584 belongs to Providence Cannon Beach Clinic in Cannon Beach, OR.
Certificate of Waiver, effective January 1, 2026, expires December 31, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- January 1, 2026
- Certificate expiration
- December 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 28, 1998
- Facility type
- Rural health clinic
- Ownership (control type)
- Religious affiliation
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 38D0939584
- Lab name
- Providence Cannon Beach Clinic
- Address
- 171 Larch St, Cannon Beach, OR 97110
- Phone
- (503) 717-7400
- Fax
- (503) 717-9960
Annual test volume the lab reported
- Waived tests
- 372
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Cannon Beach, OR
Related
Questions
What is the CLIA number for Providence Cannon Beach Clinic in Cannon Beach?
38D0939584, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Cannon Beach Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 38D0939584 expire?
The CMS file lists December 31, 2027 as the certificate expiration date; the certificate took effect January 1, 2026.