38D0626031 CLIA NUMBER - SAMARITAN OBSTETRICS AND GYNECOLOGY CORVALLIS

Laboratory Demographics

CLIA Number: 38D0626031

Facility Name: SAMARITAN OBSTETRICS AND GYNECOLOGY CORVALLIS

Facility Address:
3640 NW SAMARITAN DR STE 220
CORVALLIS, OR
ZIP 97330
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Facility Phone Number: 541 768-5300

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1871859017

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	38D0626031
LAB Type	Physician Office
Facility Name	SAMARITAN OBSTETRICS AND GYNECOLOGY CORVALLIS
Street	3640 NW SAMARITAN DR STE 220
City	CORVALLIS
State	OR
ZIP	97330
Phone	541 768-5300
CertificateType	4
CertificateEffectiveDate	2/9/2023
CertificateExpirationDate	2/8/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024