34D2305936 CLIA NUMBER - BUFFALO'S CONCERNED FOR YOUTH, INC

Laboratory Demographics

CLIA Code: 34D2305936
Facility Name: BUFFALO'S CONCERNED FOR YOUTH, INC
Facility Address: 1317 FORESTDALE DR
SALISBURY, NC
ZIP 28144
Facility Phone: 980 330-3054
Facility Type: Other - .700 LEVEL 3 MH GROUP HOM
Facility Type: Waiver
Lab Director: TANYA CORNELIUS
NPI Number: 1639883564
Taxonomy: 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children

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CLIA Record

Field Name	Field Value
CLIA Number	34D2305936
LAB Type	Other - .700 LEVEL 3 MH GROUP HOM
Facility Name	BUFFALO'S CONCERNED FOR YOUTH, INC
Street	1317 FORESTDALE DR
City	SALISBURY
State	NC
ZIP	28144
Phone	980 330-3054
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	6/10/2024
Certificate Expiration Date	6/9/2026
Facility Type	Other - .700 LEVEL 3 MH GROUP HOM
Lab Director	TANYA CORNELIUS

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