CLIA lab
CLIA 38D2256739: 12th Street RTH
Bend, OR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 38D2256739 belongs to 12th Street RTH in Bend, OR.
Certificate of Waiver, effective March 28, 2026, expires March 27, 2028.
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
- March 28, 2026
- Certificate expiration
- March 27, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 28, 2022
- Facility type
- Other
- Ownership (control type)
- Proprietary
- 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
- 38D2256739
- Lab name
- 12th Street RTH
- Address
- 1058 NE 12th St, Bend, OR 97701
- Phone
- (541) 306-5180
- Fax
- (541) 330-6455
Annual test volume the lab reported
- Waived tests
- 350
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Aspen Ridge Retirement CommunityCertificate of Waiver, Assisted living facility38D2132411
- At Home Care GroupCertificate of Waiver, Home health agency38D2251297
- Baker Family NaturopathicCertificate of Waiver, Physician office38D1069787
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- Bend Dermatology Clinic Lab LLCCertificate of Compliance, Physician office38D0628271
Related
Questions
What is the CLIA number for 12th Street RTH in Bend?
38D2256739, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does 12th Street RTH hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 38D2256739 expire?
The CMS file lists March 27, 2028 as the certificate expiration date; the certificate took effect March 28, 2026.