38D2194700 CLIA NUMBER - FOX HOLLOW INDEPENDENT & ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 38D2194700
  • Facility Name: FOX HOLLOW INDEPENDENT & ASSISTED LIVING
  • Facility Address: 2599 NE STUDIO ROAD
    BEND, OR
    ZIP 97702
  • Facility Phone: 541 383-2030
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JACQUE S. WARE
  • NPI Number: 1851570170
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 38D2194700
LAB Type Assisted Living Facility
Facility Name FOX HOLLOW INDEPENDENT & ASSISTED LIVING
Street 2599 NE STUDIO ROAD
City BEND
State OR
ZIP 97702
Phone 541 383-2030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Assisted Living Facility
Lab Director JACQUE S. WARE

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