CLIA lab

CLIA 38D2122169: ST Charles Family & Urgent Care - Bend South

Bend, OR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 38D2122169 belongs to ST Charles Family & Urgent Care - Bend South in Bend, OR.

Certificate of Waiver, effective August 15, 2025, expires August 14, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
August 15, 2025
Certificate expiration
August 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 21, 2016
Facility type
Physician office
Ownership (control type)
Private
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
38D2122169
Lab name
ST Charles Family & Urgent Care - Bend South
Address
61250 SE Coombs Place, Bend, OR 97702
Phone
(541) 706-2913
Fax
(541) 706-7709

Annual test volume the lab reported

Waived tests
989

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for ST Charles Family & Urgent Care - Bend South in Bend?

38D2122169, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does ST Charles Family & Urgent Care - Bend South hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 38D2122169 expire?

The CMS file lists August 14, 2027 as the certificate expiration date; the certificate took effect August 15, 2025.

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