11D2134976 CLIA NUMBER - NO LONGER BOUND

Laboratory Demographics

  • CLIA Code: 11D2134976
  • Facility Name: NO LONGER BOUND
  • Facility Address: 2725 PINE GROVE ROAD
    CUMMING, GA
    ZIP 30041
  • Facility Phone: 770 886-7873
  • Facility Type: Other - DRUG & ALCO NOC PROGRAM
  • Facility Type: Waiver
  • Lab Director: MATTHEW F. ADAMS
  • NPI Number: 1326517418
  • Taxonomy: 276400000X - Rehabilitation, Substance Use Disorder Unit

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CLIA Record

Field Name Field Value
CLIA Number 11D2134976
LAB Type Other - DRUG & ALCO NOC PROGRAM
Facility Name NO LONGER BOUND
Street 2725 PINE GROVE ROAD
City CUMMING
State GA
ZIP 30041
Phone 770 886-7873
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2025
Certificate Expiration Date 8/13/2027
Facility Type Other - DRUG & ALCO NOC PROGRAM
Lab Director MATTHEW F. ADAMS

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