38D0921253 CLIA NUMBER - LIFEWAYS INC

Laboratory Demographics

CLIA Number: 38D0921253

Facility Name: LIFEWAYS INC

Facility Address:
702 SUNSET DRIVE
ONTARIO, OR
ZIP 97914
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Facility Phone Number: 541 889-9167

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1144761784

Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

CLIA Record

Field Name Field Value
CLIA Number 38D0921253
LAB Type Community Clinic
Facility Name LIFEWAYS INC
Street 702 SUNSET DRIVE
City ONTARIO
State OR
ZIP 97914
Phone 541 889-9167
CertificateType 4
CertificateEffectiveDate 1/1/2024
CertificateExpirationDate 12/31/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024