38D1094201 CLIA NUMBER - SAMARITAN MEDICATION MANAGEMENT - GEARY ST

Laboratory Demographics

  • CLIA Code: 38D1094201
  • Facility Name: SAMARITAN MEDICATION MANAGEMENT - GEARY ST
  • Facility Address: 1700 GEARY STREET SE SUITE C124
    ALBANY, OR
    ZIP 97322
  • Facility Phone: 541 768-5185
  • Facility Type: Other - ANTI COAG CLINIC
  • Facility Type: Waiver
  • Lab Director: SRIDHAR VIJAYASEKARAN
  • NPI Number: 1174671044
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 38D1094201
LAB Type Other - ANTI COAG CLINIC
Facility Name SAMARITAN MEDICATION MANAGEMENT - GEARY ST
Street 1700 GEARY STREET SE SUITE C124
City ALBANY
State OR
ZIP 97322
Phone 541 768-5185
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2025
Certificate Expiration Date 1/12/2027
Facility Type Other - ANTI COAG CLINIC
Lab Director SRIDHAR VIJAYASEKARAN

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