38D2127470 CLIA NUMBER - OREGON MEDICAL GROUP AT COUNTRY CLUB

Laboratory Demographics

  • CLIA Code: 38D2127470
  • Facility Name: OREGON MEDICAL GROUP AT COUNTRY CLUB
  • Facility Address: 600 COUNTRY CLUB ROAD
    EUGENE, OR
    ZIP 97401
  • Facility Phone: 541 242-4152
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MARYAM A. FARINOLA
  • NPI Number: 1417905860
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2127470
LAB Type Physician Office
Facility Name OREGON MEDICAL GROUP AT COUNTRY CLUB
Street 600 COUNTRY CLUB ROAD
City EUGENE
State OR
ZIP 97401
Phone 541 242-4152
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Physician Office
Lab Director MARYAM A. FARINOLA

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