38D2257440 CLIA NUMBER - BRISTOL HOSPICE-BEND LLC

Laboratory Demographics

CLIA Number: 38D2257440

Facility Name: BRISTOL HOSPICE-BEND LLC

Facility Address:
563 SW 13TH ST, STE 101
BEND, OR
ZIP 97702
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Facility Phone Number: 541 550-1155

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1356916845

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	38D2257440
LAB Type	Hospice
Facility Name	BRISTOL HOSPICE-BEND LLC
Street	563 SW 13TH ST, STE 101
City	BEND
State	OR
ZIP	97702
Phone	541 550-1155
CertificateType	4
CertificateEffectiveDate	4/5/2024
CertificateExpirationDate	4/4/2026
FacilityType	Waiver

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