38D2107128 CLIA NUMBER - LANE COUNTY LIVE WELL CENTER

Laboratory Demographics

CLIA Number: 38D2107128

Facility Name: LANE COUNTY LIVE WELL CENTER

Facility Address:
4725 VILLAGE PLAZA LOOP SUITE 100
EUGENE, OR
ZIP 97401
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Facility Phone Number: (541) 603-7930

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1275072506

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	38D2107128
LAB Type	OTHER
Facility Name	LANE COUNTY LIVE WELL CENTER
Street	4725 VILLAGE PLAZA LOOP SUITE 100
City	EUGENE
State	OR
ZIP	97401
Phone	(541) 603-7930

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This page was last updated on: 5/11/2023