38D2149136 CLIA NUMBER - BRISTOL HOSPICE-EUGENE,LLC

Laboratory Demographics

CLIA Number: 38D2149136

Facility Name: BRISTOL HOSPICE-EUGENE,LLC

Facility Address:
400 INTERNATIONAL WAY, SUITE 200
SPRINGFIELD, OR
ZIP 97477
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Facility Phone Number: 541 844-0151

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1568962033

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	38D2149136
LAB Type	Hospice
Facility Name	BRISTOL HOSPICE-EUGENE,LLC
Street	400 INTERNATIONAL WAY, SUITE 200
City	SPRINGFIELD
State	OR
ZIP	97477
Phone	541 844-0151
CertificateType	4
CertificateEffectiveDate	5/24/2022
CertificateExpirationDate	5/23/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024