38D2145191 CLIA NUMBER - MOSAIC-COURTNEY HEALTH CENTER AND MOBILE CLINIC

Laboratory Demographics

  • CLIA Code: 38D2145191
  • Facility Name: MOSAIC-COURTNEY HEALTH CENTER AND MOBILE CLINIC
  • Facility Address: 2577 NE COURTNEY DRIVE , SUITE 100
    BEND, OR
    ZIP 97701
  • Facility Phone: 541 383-3005
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: JOSHUA REIHER
  • NPI Number: 1528560091
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2145191
LAB Type Federally Qualified Health Center
Facility Name MOSAIC-COURTNEY HEALTH CENTER AND MOBILE CLINIC
Street 2577 NE COURTNEY DRIVE , SUITE 100
City BEND
State OR
ZIP 97701
Phone 541 383-3005
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 3/2/2024
Certificate Expiration Date 3/1/2026
Facility Type Federally Qualified Health Center
Lab Director JOSHUA REIHER

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