38D0673693 CLIA NUMBER - SUMMIT HEALTH CITY MD + BEND MEMORIAL CLINIC SISTERS

Laboratory Demographics

  • CLIA Code: 38D0673693
  • Facility Name: SUMMIT HEALTH CITY MD + BEND MEMORIAL CLINIC SISTERS
  • Facility Address: 231 E CASCADE AVE
    SISTERS, OR
    ZIP 97759
  • Facility Phone: 541 382-2811
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: VICTOR A. NWANGUMA
  • NPI Number: 1851616692
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D0673693
LAB Type Community Clinic
Facility Name SUMMIT HEALTH CITY MD + BEND MEMORIAL CLINIC SISTERS
Street 231 E CASCADE AVE
City SISTERS
State OR
ZIP 97759
Phone 541 382-2811
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 4/4/2024
Certificate Expiration Date 4/3/2026
Facility Type Community Clinic
Lab Director VICTOR A. NWANGUMA

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