38D1045827 CLIA NUMBER - BENTON COUNTY CORRECTIONS FACILITY

Laboratory Demographics

  • CLIA Code: 38D1045827
  • Facility Name: BENTON COUNTY CORRECTIONS FACILITY
  • Facility Address: 190 NW 4TH ST
    CORVALLIS, OR
    ZIP 97339
  • Facility Phone: 541 766-6299
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: LT DIANA G. RABAGO
  • NPI Number: 1093997710
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D1045827
LAB Type Prison
Facility Name BENTON COUNTY CORRECTIONS FACILITY
Street 190 NW 4TH ST
City CORVALLIS
State OR
ZIP 97339
Phone 541 766-6299
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2025
Certificate Expiration Date 9/22/2027
Facility Type Prison
Lab Director LT DIANA G. RABAGO

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