38D0877373 CLIA NUMBER - MCCOWAN CLINICAL LABORATORY, INC

Laboratory Demographics

  • CLIA Code: 38D0877373
  • Facility Name: MCCOWAN CLINICAL LABORATORY, INC
  • Facility Address: 178 W COMMERCIAL ST
    COOS BAY, OR
    ZIP 97420
  • Facility Phone: 541 267-7853
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: EDWIN A. TROYER BS MT
  • NPI Number: 1851400071
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 38D0877373
LAB Type Independent
Facility Name MCCOWAN CLINICAL LABORATORY, INC
Street 178 W COMMERCIAL ST
City COOS BAY
State OR
ZIP 97420
Phone 541 267-7853
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Independent
Lab Director EDWIN A. TROYER BS MT

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