38D2051905 CLIA NUMBER - JUNIPER PEDIATRICS (DBA)

Laboratory Demographics

  • CLIA Code: 38D2051905
  • Facility Name: JUNIPER PEDIATRICS (DBA)
  • Facility Address: 62930 OB RILEY RD, STE 300
    BEND, OR
    ZIP 97703
  • Facility Phone: 541 323-5515
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: DEBORAH P. COEHLO PHD PNP PMHS
  • NPI Number: 1053757666
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 38D2051905
LAB Type Practitioner Other
Facility Name JUNIPER PEDIATRICS (DBA)
Street 62930 OB RILEY RD, STE 300
City BEND
State OR
ZIP 97703
Phone 541 323-5515
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/2/2025
Certificate Expiration Date 1/1/2027
Facility Type Practitioner Other
Lab Director DEBORAH P. COEHLO PHD PNP PMHS

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