38D2194707 CLIA NUMBER - REGENCY PARK PLACE

Laboratory Demographics

  • CLIA Code: 38D2194707
  • Facility Name: REGENCY PARK PLACE
  • Facility Address: 2595 NE JACK LONDON ST
    CORVALLIS, OR
    ZIP 97330
  • Facility Phone: (541) 754-5808
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ROCHELLE COLLETT
  • NPI Number: 1821232687
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D2194707
LAB Type Assisted Living Facility
Facility Name REGENCY PARK PLACE
Street 2595 NE JACK LONDON ST
City CORVALLIS
State OR
ZIP 97330
Phone 5417545808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Assisted Living Facility
Lab Director ROCHELLE COLLETT

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This page was last updated on: 5/18/2026