38D2023259 CLIA NUMBER - DESCHUTES RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 38D2023259
  • Facility Name: DESCHUTES RECOVERY CENTER
  • Facility Address: 20370 POE SHOLES DRIVE
    BEND, OR
    ZIP 97703
  • Facility Phone: 541 306-5180
  • Facility Type: Other - PSYCHIATRIC CENTER
  • Facility Type: Waiver
  • Lab Director: LORNA ILLINGWORTH
  • NPI Number: 1023305471
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D2023259
LAB Type Other - PSYCHIATRIC CENTER
Facility Name DESCHUTES RECOVERY CENTER
Street 20370 POE SHOLES DRIVE
City BEND
State OR
ZIP 97703
Phone 541 306-5180
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Other - PSYCHIATRIC CENTER
Lab Director LORNA ILLINGWORTH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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