38D2028537 CLIA NUMBER - ST CHARLES FAMILY CARE LAB BEND (EAST)

Laboratory Demographics

  • CLIA Code: 38D2028537
  • Facility Name: ST CHARLES FAMILY CARE LAB BEND (EAST)
  • Facility Address: 2600 NE NEFF RD
    BEND, OR
    ZIP 97701
  • Facility Phone: 541 406-2913
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEORGIA L. TUNSTILL
  • NPI Number: 1023117751
  • Taxonomy: 332BX2000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 38D2028537
LAB Type Physician Office
Facility Name ST CHARLES FAMILY CARE LAB BEND (EAST)
Street 2600 NE NEFF RD
City BEND
State OR
ZIP 97701
Phone 541 406-2913
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Physician Office
Lab Director GEORGIA L. TUNSTILL

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