38D2226159 CLIA NUMBER - SARAH SORIC THERAPY LLC DBA DYNAMIC SELF RECOVERY

Laboratory Demographics

  • CLIA Code: 38D2226159
  • Facility Name: SARAH SORIC THERAPY LLC DBA DYNAMIC SELF RECOVERY
  • Facility Address: 1010 11TH AVE SW
    ALBANY, OR
    ZIP 97321
  • Facility Phone: 541 791-7193
  • Facility Type: Other - DRUG OUTPATIENT TREATMENT
  • Facility Type: Waiver
  • Lab Director: SARAH SORIC
  • NPI Number: 1083205298
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2226159
LAB Type Other - DRUG OUTPATIENT TREATMENT
Facility Name SARAH SORIC THERAPY LLC DBA DYNAMIC SELF RECOVERY
Street 1010 11TH AVE SW
City ALBANY
State OR
ZIP 97321
Phone 541 791-7193
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Other - DRUG OUTPATIENT TREATMENT
Lab Director SARAH SORIC

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