38D2227457 CLIA NUMBER - SIGNATURE HOSPICE BEND, LLC DBA SIGNATURE HEALTHCARE AT HOME

Laboratory Demographics

CLIA Number: 38D2227457

Facility Name: SIGNATURE HOSPICE BEND, LLC DBA SIGNATURE HEALTHCARE AT HOME

Facility Address:
454 NE REVERE AVE
BEND, OR
ZIP 97701
Get Directions

Facility Phone Number: 541 527-1703

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1851911648

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	38D2227457
LAB Type	Hospice
Facility Name	SIGNATURE HOSPICE BEND, LLC DBA SIGNATURE HEALTHCARE AT HOME
Street	454 NE REVERE AVE
City	BEND
State	OR
ZIP	97701
Phone	541 527-1703
CertificateType	4
CertificateEffectiveDate	6/11/2023
CertificateExpirationDate	6/10/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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