38D2028867 CLIA NUMBER - RONALD D WOBIG PC DBA BEAVER SPORTS MEDICINE

Laboratory Demographics

  • CLIA Code: 38D2028867
  • Facility Name: RONALD D WOBIG PC DBA BEAVER SPORTS MEDICINE
  • Facility Address: 1128 NE SECOND STREET SUITE 201
    CORVALLIS, OR
    ZIP 97330
  • Facility Phone: 541 757-8100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONALD D WOBIG MD
  • NPI Number: 1306834601
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 38D2028867
LAB Type Physician Office
Facility Name RONALD D WOBIG PC DBA BEAVER SPORTS MEDICINE
Street 1128 NE SECOND STREET SUITE 201
City CORVALLIS
State OR
ZIP 97330
Phone 541 757-8100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Physician Office
Lab Director RONALD D WOBIG MD

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