38D0912361 CLIA NUMBER - QUALICENTERS-BEND LABORATORY

Laboratory Demographics

  • CLIA Code: 38D0912361
  • Facility Name: QUALICENTERS-BEND LABORATORY
  • Facility Address: 1239 NE MEDICAL CENTER DR STE 100
    BEND, OR
    ZIP 97701
  • Facility Phone: 541 385-8668
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CASEY STOWELL
  • NPI Number: 1376655175
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D0912361
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name QUALICENTERS-BEND LABORATORY
Street 1239 NE MEDICAL CENTER DR STE 100
City BEND
State OR
ZIP 97701
Phone 541 385-8668
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2025
Certificate Expiration Date 9/30/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CASEY STOWELL

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