38D0965932 CLIA NUMBER - COMMUNITY OUTREACH MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 38D0965932
  • Facility Name: COMMUNITY OUTREACH MEDICAL CLINIC
  • Facility Address: 865 NW REIMAN AVE
    CORVALLIS, OR
    ZIP 97330
  • Facility Phone: 541 758-3000
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: NICOLA CHIKKALINGAIAH MD
  • NPI Number: 1235341918
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 38D0965932
LAB Type Community Clinic
Facility Name COMMUNITY OUTREACH MEDICAL CLINIC
Street 865 NW REIMAN AVE
City CORVALLIS
State OR
ZIP 97330
Phone 541 758-3000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Community Clinic
Lab Director NICOLA CHIKKALINGAIAH MD

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