38D1085810 CLIA NUMBER - CENTRAL OREGON DERMATOLOGY PC

Laboratory Demographics

  • CLIA Code: 38D1085810
  • Facility Name: CENTRAL OREGON DERMATOLOGY PC
  • Facility Address: 388 SW BLUFF DRIVE
    BEND, OR
    ZIP 97702
  • Facility Phone: (541) 678-0020
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MARK A. HALL
  • NPI Number: 1336307875
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D1085810
LAB Type Physician Office
Facility Name CENTRAL OREGON DERMATOLOGY PC
Street 388 SW BLUFF DRIVE
City BEND
State OR
ZIP 97702
Phone 5416780020
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 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Physician Office
Lab Director MARK A. HALL

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This page was last updated on: 5/15/2026