38D1086307 CLIA NUMBER - SAMARITAN KIDNEY SPECIALISTS

Laboratory Demographics

  • CLIA Code: 38D1086307
  • Facility Name: SAMARITAN KIDNEY SPECIALISTS
  • Facility Address: 3615 NW SAMARITAN DR SUITE 203
    CORVALLIS, OR
    ZIP 97330
  • Facility Phone: 541 768-6930
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CAMILIA MAKHYOUN
  • NPI Number: 1700145786
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D1086307
LAB Type Physician Office
Facility Name SAMARITAN KIDNEY SPECIALISTS
Street 3615 NW SAMARITAN DR SUITE 203
City CORVALLIS
State OR
ZIP 97330
Phone 541 768-6930
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Physician Office
Lab Director CAMILIA MAKHYOUN

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