38D2044850 CLIA NUMBER - SAMARITAN UROLOGY ALBANY

Laboratory Demographics

  • CLIA Code: 38D2044850
  • Facility Name: SAMARITAN UROLOGY ALBANY
  • Facility Address: 400 HICKORY ST STE 200
    ALBANY, OR
    ZIP 97321
  • Facility Phone: 541 812-5800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROSS A. WOPAT
  • NPI Number: 1861755902
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 38D2044850
LAB Type Physician Office
Facility Name SAMARITAN UROLOGY ALBANY
Street 400 HICKORY ST STE 200
City ALBANY
State OR
ZIP 97321
Phone 541 812-5800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2024
Certificate Expiration Date 3/22/2026
Facility Type Physician Office
Lab Director ROSS A. WOPAT

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