38D2149535 CLIA NUMBER - CASCADE INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 38D2149535
  • Facility Name: CASCADE INTERNAL MEDICINE
  • Facility Address: 2239 NE DOCTORS DR SUITE 200
    BEND, OR
    ZIP 97701
  • Facility Phone: 541 318-0124
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARK A. BACKUS MD
  • NPI Number: 1316957129
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2149535
LAB Type Physician Office
Facility Name CASCADE INTERNAL MEDICINE
Street 2239 NE DOCTORS DR SUITE 200
City BEND
State OR
ZIP 97701
Phone 541 318-0124
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2024
Certificate Expiration Date 6/4/2026
Facility Type Physician Office
Lab Director DR. MARK A. BACKUS MD

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