38D0625872 CLIA NUMBER - CORVALLIS CLINIC AT WAVERLY LABORATORY, THE

Laboratory Demographics

  • CLIA Code: 38D0625872
  • Facility Name: CORVALLIS CLINIC AT WAVERLY LABORATORY, THE
  • Facility Address: 1705 WAVERLY DR SE
    ALBANY, OR
    ZIP 97322
  • Facility Phone: 541 967-8221
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JANEL LAWRENCE
  • NPI Number: 1316711021
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 38D0625872
LAB Type Physician Office
Facility Name CORVALLIS CLINIC AT WAVERLY LABORATORY, THE
Street 1705 WAVERLY DR SE
City ALBANY
State OR
ZIP 97322
Phone 541 967-8221
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/18/2024
Certificate Expiration Date 4/17/2026
Facility Type Physician Office
Lab Director JANEL LAWRENCE

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