11D2082276 CLIA NUMBER - DYNAMIC INTERVENTIONS, INC

Laboratory Demographics

  • CLIA Code: 11D2082276
  • Facility Name: DYNAMIC INTERVENTIONS, INC
  • Facility Address: 524 SOUTH HOUSTON LAKE DR SUITE G-100
    WARNER ROBINS, GA
    ZIP 31088
  • Facility Phone: 478 333-6197
  • Facility Type: Other - DRUG ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: TAMMY V. SMITH
  • NPI Number: 1134262033
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 11D2082276
LAB Type Other - DRUG ABUSE TREATMENT
Facility Name DYNAMIC INTERVENTIONS, INC
Street 524 SOUTH HOUSTON LAKE DR SUITE G-100
City WARNER ROBINS
State GA
ZIP 31088
Phone 478 333-6197
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Other - DRUG ABUSE TREATMENT
Lab Director TAMMY V. SMITH

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