38D2316723 CLIA NUMBER - CORVALLIS CLINIC, PC, THE

Laboratory Demographics

  • CLIA Code: 38D2316723
  • Facility Name: CORVALLIS CLINIC, PC, THE
  • Facility Address: 3680 NW SAMARITAN DR, ASBURY BUILDING
    CORVALLIS, OR
    ZIP 97330
  • Facility Phone: 541 754-1366
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JANEL LAWRENCE
  • NPI Number: 1710751425
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 38D2316723
LAB Type Physician Office
Facility Name CORVALLIS CLINIC, PC, THE
Street 3680 NW SAMARITAN DR, ASBURY BUILDING
City CORVALLIS
State OR
ZIP 97330
Phone 541 754-1366
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Physician Office
Lab Director JANEL LAWRENCE

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