11D2069285 CLIA NUMBER - COLUMBUS ADDICTION ASSOCIATES, LLC MEDMARK TREATMENT CENTERS COLUMBUS NORTH

Laboratory Demographics

  • CLIA Code: 11D2069285
  • Facility Name: COLUMBUS ADDICTION ASSOCIATES, LLC MEDMARK TREATMENT CENTERS COLUMBUS NORTH
  • Facility Address: 5617 PRINCETON AVENUE, SUITE B
    COLUMBUS, GA
    ZIP 31904
  • Facility Phone: 706 257-7722
  • Facility Type: Other - NAROTIC TREATMENT PROGRAM
  • Facility Type: Waiver
  • Lab Director: AKINLAWON O. AYENI
  • NPI Number: 1700244415
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2069285
LAB Type Other - NAROTIC TREATMENT PROGRAM
Facility Name COLUMBUS ADDICTION ASSOCIATES, LLC MEDMARK TREATMENT CENTERS COLUMBUS NORTH
Street 5617 PRINCETON AVENUE, SUITE B
City COLUMBUS
State GA
ZIP 31904
Phone 706 257-7722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Other - NAROTIC TREATMENT PROGRAM
Lab Director AKINLAWON O. AYENI

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