CLIA lab
CLIA 38D2063701: Mosaic-Crook Kids School-Based Health Center
Prineville, OR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 38D2063701 belongs to Mosaic-Crook Kids School-Based Health Center in Prineville, OR.
Certificate of Waiver, effective April 1, 2025, expires March 31, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 1, 2025
- Certificate expiration
- March 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 7, 2013
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 13
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 38D2063701
- Lab name
- Mosaic-Crook Kids School-Based Health Center
- Address
- 757 NE 1st Street, Prineville, OR 97754
- Phone
- (541) 383-3005
- Fax
- (541) 383-1883
Annual test volume the lab reported
- Waived tests
- 600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Prineville, OR
- Advantage Dental + PrinevilleCertificate of Waiver, Other38D2178716
- Bend Dermatology Clinic-PrinevilleCertificate for Provider-Performed Microscopy Procedures, Physician office38D2264124
- Carriage PlaceCertificate of Waiver, Assisted living facility38D2056595
- Cascade Medical Imaging LLCCertificate of Waiver, Other38D2156254
- Central Oregon EyecareCertificate of Waiver, Physician office38D2132780
- Clinic PharmacyCertificate of Waiver, Pharmacy38D2237456
- Crook County Fire & RescueCertificate of Waiver, Ambulance38D0966986
- Crook County Health DepartmentCertificate for Provider-Performed Microscopy Procedures, Public health laboratory38D0664271
- Crook County Sheriff's Office Jail MedCertificate of Waiver, Other38D2267832
- Im Well Internal Medicine and WellnessCertificate of Waiver, Physician office38D2290477
Related
Questions
What is the CLIA number for Mosaic-Crook Kids School-Based Health Center in Prineville?
38D2063701, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mosaic-Crook Kids School-Based Health Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 38D2063701 expire?
The CMS file lists March 31, 2027 as the certificate expiration date; the certificate took effect April 1, 2025.