38D1060111 CLIA NUMBER - CORVALLIS CLINIC SURGERY CENTER,THE

Laboratory Demographics

  • CLIA Code: 38D1060111
  • Facility Name: CORVALLIS CLINIC SURGERY CENTER,THE
  • Facility Address: 601 NW ELKS DRIVE
    CORVALLIS, OR
    ZIP 97330
  • Facility Phone: 541 754-1254
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JONATHAN EVANS
  • NPI Number: 1881850386
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D1060111
LAB Type Ambulatory Surgery Center
Facility Name CORVALLIS CLINIC SURGERY CENTER,THE
Street 601 NW ELKS DRIVE
City CORVALLIS
State OR
ZIP 97330
Phone 541 754-1254
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Ambulatory Surgery Center
Lab Director JONATHAN EVANS

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