38D2244257 CLIA NUMBER - LINN BENTON DIALYSIS

Laboratory Demographics

  • CLIA Code: 38D2244257
  • Facility Name: LINN BENTON DIALYSIS
  • Facility Address: 3580 NW SAMARITAN DR
    CORVALLIS, OR
    ZIP 97330
  • Facility Phone: 541 801-3937
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DIVINE RIBAKARE
  • NPI Number: 1538830013
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2244257
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LINN BENTON DIALYSIS
Street 3580 NW SAMARITAN DR
City CORVALLIS
State OR
ZIP 97330
Phone 541 801-3937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DIVINE RIBAKARE

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