38D2275597 CLIA NUMBER - JUNIPER DERMATOLOGY, LLC

Laboratory Demographics

  • CLIA Code: 38D2275597
  • Facility Name: JUNIPER DERMATOLOGY, LLC
  • Facility Address: 2450 NE MARY ROSE PLACE SUITE 201
    BEND, OR
    ZIP 97701
  • Facility Phone: 541 585-7546
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KARLA PIVIK
  • NPI Number: 1134856404
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 38D2275597
LAB Type Physician Office
Facility Name JUNIPER DERMATOLOGY, LLC
Street 2450 NE MARY ROSE PLACE SUITE 201
City BEND
State OR
ZIP 97701
Phone 541 585-7546
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Physician Office
Lab Director KARLA PIVIK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025