38D2153461 CLIA NUMBER - CHILDREN'S FARM HOME - HEALTH SERVICES

Laboratory Demographics

CLIA Code: 38D2153461
Facility Name: CHILDREN'S FARM HOME - HEALTH SERVICES
Facility Address: 4455 NE HWY 20
CORVALLIS, OR
ZIP 97330
Facility Phone: 541 757-1852
Facility Type: Other - RES MENTAL HEALTH FACILTY
Facility Type: Waiver
Lab Director: DR. CINDY SMITH
NPI Number: 1760827182
Taxonomy: 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children

Map and Directions

Get Directions

CLIA Record

Field Name	Field Value
CLIA Number	38D2153461
LAB Type	Other - RES MENTAL HEALTH FACILTY
Facility Name	CHILDREN'S FARM HOME - HEALTH SERVICES
Street	4455 NE HWY 20
City	CORVALLIS
State	OR
ZIP	97330
Phone	541 757-1852
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	8/24/2024
Certificate Expiration Date	8/23/2026
Facility Type	Other - RES MENTAL HEALTH FACILTY
Lab Director	DR. CINDY SMITH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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