38D0936719 CLIA NUMBER - SAMARITAN GEARY STREET CLINIC

Laboratory Demographics

  • CLIA Code: 38D0936719
  • Facility Name: SAMARITAN GEARY STREET CLINIC
  • Facility Address: 1700 GEARY ST SE
    ALBANY, OR
    ZIP 97322
  • Facility Phone: 541 768-5140
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. KRISTY JESSOP
  • NPI Number: 1700280674
  • Taxonomy: 207QH0002X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D0936719
LAB Type Community Clinic
Facility Name SAMARITAN GEARY STREET CLINIC
Street 1700 GEARY ST SE
City ALBANY
State OR
ZIP 97322
Phone 541 768-5140
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Community Clinic
Lab Director DR. KRISTY JESSOP

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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