38D2176283 CLIA NUMBER - DESCHUTES RIVER DIALYSIS

Laboratory Demographics

  • CLIA Code: 38D2176283
  • Facility Name: DESCHUTES RIVER DIALYSIS
  • Facility Address: 61280 SE COOMBS ST
    BEND, OR
    ZIP 97702
  • Facility Phone: 541 668-8901
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: LANCE DICKER
  • NPI Number: 1831652569
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2176283
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DESCHUTES RIVER DIALYSIS
Street 61280 SE COOMBS ST
City BEND
State OR
ZIP 97702
Phone 541 668-8901
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director LANCE DICKER

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