38D0626300 CLIA NUMBER - CORVALLIS CLINIC PHILOMATH FAMILY MEDICINE, THE

Laboratory Demographics

  • CLIA Code: 38D0626300
  • Facility Name: CORVALLIS CLINIC PHILOMATH FAMILY MEDICINE, THE
  • Facility Address: 500 MAIN ST
    PHILOMATH, OR
    ZIP 97370
  • Facility Phone: 541 754-1272
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JANEL LAWRENCE
  • NPI Number: 1396299624
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 38D0626300
LAB Type Physician Office
Facility Name CORVALLIS CLINIC PHILOMATH FAMILY MEDICINE, THE
Street 500 MAIN ST
City PHILOMATH
State OR
ZIP 97370
Phone 541 754-1272
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 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Physician Office
Lab Director JANEL LAWRENCE

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