38D2044850 CLIA NUMBER - SAMARITAN UROLOGY ALBANY

Laboratory Demographics

CLIA Number: 38D2044850

Facility Name: SAMARITAN UROLOGY ALBANY

Facility Address:
400 HICKORY ST STE 200
ALBANY, OR
ZIP 97321
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Facility Phone Number: 541 812-5800

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1861755902

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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
CertificateType 4
CertificateEffectiveDate 3/23/2024
CertificateExpirationDate 3/22/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024