11D2152573 CLIA NUMBER - THE HOPEQUEST MINISTRY GROUP, INC (TREK IOP/PHP)

Laboratory Demographics

  • CLIA Code: 11D2152573
  • Facility Name: THE HOPEQUEST MINISTRY GROUP, INC (TREK IOP/PHP)
  • Facility Address: 5339 CROSSROADS DRIVE
    ACWORTH, GA
    ZIP 30102
  • Facility Phone: 678 391-5950
  • Facility Type: Other - IOP/PHP DRUG ABUSE TREAT
  • Facility Type: Waiver
  • Lab Director: TROY V. HASS
  • NPI Number: 1295089134
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D2152573
LAB Type Other - IOP/PHP DRUG ABUSE TREAT
Facility Name THE HOPEQUEST MINISTRY GROUP, INC (TREK IOP/PHP)
Street 5339 CROSSROADS DRIVE
City ACWORTH
State GA
ZIP 30102
Phone 678 391-5950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Other - IOP/PHP DRUG ABUSE TREAT
Lab Director TROY V. HASS

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