38D0626037 CLIA NUMBER - CORVALLIS FAMILY MEDICINE, PC

Laboratory Demographics

  • CLIA Code: 38D0626037
  • Facility Name: CORVALLIS FAMILY MEDICINE, PC
  • Facility Address: 2400 NW KINGS BLVD
    CORVALLIS, OR
    ZIP 97330
  • Facility Phone: 541 757-2400
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BRIANNE E. SMITH
  • NPI Number: 1841228327
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D0626037
LAB Type Physician Office
Facility Name CORVALLIS FAMILY MEDICINE, PC
Street 2400 NW KINGS BLVD
City CORVALLIS
State OR
ZIP 97330
Phone 541 757-2400
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Physician Office
Lab Director BRIANNE E. SMITH

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This page was last updated on: 3/20/2025