38D2297108 CLIA NUMBER - PINE SPRINGS HEALTH

Laboratory Demographics

  • CLIA Code: 38D2297108
  • Facility Name: PINE SPRINGS HEALTH
  • Facility Address: 711 NE IRVING AVENUE
    BEND, OR
    ZIP 97701
  • Facility Phone: 541 330-9110
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DIVYA SHARMA
  • NPI Number: 1013697994
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 38D2297108
LAB Type Physician Office
Facility Name PINE SPRINGS HEALTH
Street 711 NE IRVING AVENUE
City BEND
State OR
ZIP 97701
Phone 541 330-9110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Physician Office
Lab Director DIVYA SHARMA

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