11D1088976 CLIA NUMBER - PREFERRED TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 11D1088976
  • Facility Name: PREFERRED TREATMENT CENTER
  • Facility Address: 1101 HILLCREST PARKWAY, UNIT F
    DUBLIN, GA
    ZIP 31021
  • Facility Phone: 478 274-8426
  • Facility Type: Other - NARCOTIC PROGRAM (NTP)
  • Facility Type: Waiver
  • Lab Director: BRENDA L. GORDY
  • NPI Number: 1831598572
  • Taxonomy: 207QA0401X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1088976
LAB Type Other - NARCOTIC PROGRAM (NTP)
Facility Name PREFERRED TREATMENT CENTER
Street 1101 HILLCREST PARKWAY, UNIT F
City DUBLIN
State GA
ZIP 31021
Phone 478 274-8426
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type Other - NARCOTIC PROGRAM (NTP)
Lab Director BRENDA L. GORDY

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This page was last updated on: 3/20/2025