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38D0877373 CLIA NUMBER - MCCOWAN CLINICAL LABORATORY, INC

Laboratory Demographics

CLIA Number: 38D0877373

Facility Name: MCCOWAN CLINICAL LABORATORY, INC

Facility Address:
178 W COMMERCIAL ST
COOS BAY, OR
ZIP 97420
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Facility Phone Number: 541 267-7853

Facility Type: Independent

Certificate Type: Waiver
NPI Number: 1851400071

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

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
CertificateType 4
CertificateEffectiveDate 4/22/2024
CertificateExpirationDate 4/21/2026
FacilityType Waiver

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