ASTORIA VA CLINIC
NPI 1720022940
Clinic/Center - VA in Astoria, OR

Active since June 16, 2006CLIA 38D2047696 · Waiver
3196 MARINE DR, ASTORIA, OR 97103(702) 341-3164 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 22, 2024, Nov 1, 2017 (2 updates tracked since 2017).

About Astoria Va Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASTORIA VA CLINIC (NPI 1720022940) is a healthcare organization registered as a va in Astoria, Oregon and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through September 30, 2026 and lists Erin Potter, Npi Team, as its authorized official.

NPPES Registry Identity

NPI1720022940
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NamePORTLAND VAMC
Location Address3196 MARINE DRAstoria, OR 97103-2734
Mailing AddressPo Box 94414Cleveland, OH 44101-4414 · (702) 341-3164
Organization SubpartNo
Authorized OfficialErin PotterNpi Team · (202) 382-2579
Enumeration DateJune 16, 2006
Last NPPES UpdateNovember 22, 20242 updates tracked since enumeration
NPPES CertifiedNovember 22, 2024
NPI 1720022940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
3196 MARINE DR, Astoria, OR 97103

Other Names 1

Other NameAstoria Va Clinic

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
38D2047696
Facility Type
Assisted Living Facility
Certificate Effective Date
October 01, 2024
Certificate Expiration Date
September 30, 2026
Laboratory Director
BRITANEY Y. BRIM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Astoria Va Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720022940, enumerated as an "organization" on June 16, 2006.

The provider is located at 3196 MARINE DR ASTORIA, OR 97103 and the phone number is (702) 341-3164.

Clinic/Center with taxonomy code 261QV0200X and a focus in VA.