38D2257440 CLIA NUMBER - BRISTOL HOSPICE - BEND, LLC

Laboratory Demographics

  • CLIA Code: 38D2257440
  • Facility Name: BRISTOL HOSPICE - BEND, LLC
  • Facility Address: 563 SW 13TH ST, STE 101
    BEND, OR
    ZIP 97702
  • Facility Phone: 541 550-1155
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JORDAN NAGLE
  • NPI Number: 1356916845
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2024
Certificate Expiration Date 4/4/2026
Facility Type Hospice
Lab Director JORDAN NAGLE

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