38D0628274 CLIA NUMBER - SUMMIT HEALTH CITY MD + BEND MEMORIAL CLINIC EAST

Laboratory Demographics

  • CLIA Code: 38D0628274
  • Facility Name: SUMMIT HEALTH CITY MD + BEND MEMORIAL CLINIC EAST
  • Facility Address: 1501 NE MEDICAL CENTER DR
    BEND, OR
    ZIP 97701
  • Facility Phone: 541 706-6575
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: VICTOR A. NWANGUMA
  • NPI Number: 1699827477
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D0628274
LAB Type Physician Office
Facility Name SUMMIT HEALTH CITY MD + BEND MEMORIAL CLINIC EAST
Street 1501 NE MEDICAL CENTER DR
City BEND
State OR
ZIP 97701
Phone 541 706-6575
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 5/19/2024
Certificate Expiration Date 5/18/2026
Facility Type Physician Office
Lab Director VICTOR A. NWANGUMA

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