38D0628333 CLIA NUMBER - LAUREN O'SULLIVAN DO

Laboratory Demographics

  • CLIA Code: 38D0628333
  • Facility Name: LAUREN O'SULLIVAN DO
  • Facility Address: 1102 NE 4TH ST
    BEND, OR
    ZIP 97701
  • Facility Phone: 541 389-0450
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LAUREN O'SULLIVAN DO
  • NPI Number: 1316983679
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 38D0628333
LAB Type Physician Office
Facility Name LAUREN O'SULLIVAN DO
Street 1102 NE 4TH ST
City BEND
State OR
ZIP 97701
Phone 541 389-0450
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Physician Office
Lab Director LAUREN O'SULLIVAN DO

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