11D1044446 CLIA NUMBER - ALLIANCE RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 11D1044446
  • Facility Name: ALLIANCE RECOVERY CENTER
  • Facility Address: 1116 EAST PONCE DE LEON AVENUE
    DECATUR, GA
    ZIP 30030
  • Facility Phone: 404 377-7669
  • Facility Type: Other - OPIOID TREATMENT PROGRAM
  • Facility Type: Waiver
  • Lab Director: DR. NOAH WILLS
  • NPI Number: 1003953548
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 11D1044446
LAB Type Other - OPIOID TREATMENT PROGRAM
Facility Name ALLIANCE RECOVERY CENTER
Street 1116 EAST PONCE DE LEON AVENUE
City DECATUR
State GA
ZIP 30030
Phone 404 377-7669
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Other - OPIOID TREATMENT PROGRAM
Lab Director DR. NOAH WILLS

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