38D1050474 CLIA NUMBER - SUMMIT HEALTH CITY MD + BEND MEMORIAL CLINIC OMD

Laboratory Demographics

  • CLIA Code: 38D1050474
  • Facility Name: SUMMIT HEALTH CITY MD + BEND MEMORIAL CLINIC OMD
  • Facility Address: 815 SW BOND ST
    BEND, OR
    ZIP 97702
  • Facility Phone: 541 706-6575
  • Facility Type: Community Clinic
  • Facility Type: Certificate of Compliance
  • Lab Director: VICTOR A. NWANGUMA
  • NPI Number: 1295075984
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 38D1050474
LAB Type Community Clinic
Facility Name SUMMIT HEALTH CITY MD + BEND MEMORIAL CLINIC OMD
Street 815 SW BOND ST
City BEND
State OR
ZIP 97702
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 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Community Clinic
Lab Director VICTOR A. NWANGUMA

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