38D2313451 CLIA NUMBER - HEARTFELT PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 38D2313451
  • Facility Name: HEARTFELT PEDIATRICS, LLC
  • Facility Address: 1001 SW DISK DR, STE 250
    BEND, OR
    ZIP 97702
  • Facility Phone: 541 213-3558
  • Facility Type: Other - HOME HEALTH
  • Facility Type: Waiver
  • Lab Director: HOLLY M. MILLIGAN
  • NPI Number: 1225859002
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 38D2313451
LAB Type Other - HOME HEALTH
Facility Name HEARTFELT PEDIATRICS, LLC
Street 1001 SW DISK DR, STE 250
City BEND
State OR
ZIP 97702
Phone 541 213-3558
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Other - HOME HEALTH
Lab Director HOLLY M. MILLIGAN

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