38D2131736 CLIA NUMBER - LIFEWAY, INC-LIFEWAYS RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 38D2131736
  • Facility Name: LIFEWAY, INC-LIFEWAYS RECOVERY CENTER
  • Facility Address: 686 NW 9TH ST
    ONTARIO, OR
    ZIP 97914
  • Facility Phone: 541 889-9167
  • Facility Type: Other - RESISDENTIAL ALCOHOLDRUG
  • Facility Type: Waiver
  • Lab Director: MS. JUDY A. CORDENIZ
  • NPI Number: 1932295326
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 38D2131736
LAB Type Other - RESISDENTIAL ALCOHOLDRUG
Facility Name LIFEWAY, INC-LIFEWAYS RECOVERY CENTER
Street 686 NW 9TH ST
City ONTARIO
State OR
ZIP 97914
Phone 541 889-9167
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Other - RESISDENTIAL ALCOHOLDRUG
Lab Director MS. JUDY A. CORDENIZ

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