38D2162471 CLIA NUMBER - KLAMATH COUNTY JUVENILE DETENTION

Laboratory Demographics

CLIA Number: 38D2162471

Facility Name: KLAMATH COUNTY JUVENILE DETENTION

Facility Address:
3331 VANDENBURG RD ATTN TAMMY KAY
KLAMATH FALLS, OR
ZIP 97603
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Facility Phone Number: 541 851-3847

Facility Type: Prison

Certificate Type: Waiver

NPI Number: 1467885145

Taxonomy: 3245S0500X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

CLIA Record

Field Name	Field Value
CLIA Number	38D2162471
LAB Type	Prison
Facility Name	KLAMATH COUNTY JUVENILE DETENTION
Street	3331 VANDENBURG RD ATTN TAMMY KAY
City	KLAMATH FALLS
State	OR
ZIP	97603
Phone	541 851-3847
CertificateType	4
CertificateEffectiveDate	2/22/2023
CertificateExpirationDate	2/21/2025
FacilityType	Waiver

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