38D0882153 CLIA NUMBER - SUMMIT HEALTH UROLOGY BEND

Laboratory Demographics

  • CLIA Code: 38D0882153
  • Facility Name: SUMMIT HEALTH UROLOGY BEND
  • Facility Address: 2090 NE WYATT COURT SUITE 101
    BEND, OR
    ZIP 97701
  • Facility Phone: 541 382-6447
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: MATT S. ASHLEY
  • NPI Number: 1508815754
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 38D0882153
LAB Type Community Clinic
Facility Name SUMMIT HEALTH UROLOGY BEND
Street 2090 NE WYATT COURT SUITE 101
City BEND
State OR
ZIP 97701
Phone 541 382-6447
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 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Community Clinic
Lab Director MATT S. ASHLEY

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