38D2143860 CLIA NUMBER - CENTRAL OREGON PEDIATRIC ASSOCIATES- NORTHWEST CROSSING

Laboratory Demographics

  • CLIA Code: 38D2143860
  • Facility Name: CENTRAL OREGON PEDIATRIC ASSOCIATES- NORTHWEST CROSSING
  • Facility Address: 760 NW YORK DRIVE
    BEND, OR
    ZIP 97703
  • Facility Phone: 541 389-6313
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. WENDY JACKSON
  • NPI Number: 1457337834
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 38D2143860
LAB Type Physician Office
Facility Name CENTRAL OREGON PEDIATRIC ASSOCIATES- NORTHWEST CROSSING
Street 760 NW YORK DRIVE
City BEND
State OR
ZIP 97703
Phone 541 389-6313
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Physician Office
Lab Director MS. WENDY JACKSON

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