11D2154223 CLIA NUMBER - RESTAURA HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 11D2154223
  • Facility Name: RESTAURA HEALTH, LLC
  • Facility Address: 924 WEST SPRING STREET, SUITE B
    MONROE, GA
    ZIP 30655
  • Facility Phone: 770 266-0933
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIBELLE VERDIALES
  • NPI Number: 1225513385
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2154223
LAB Type Physician Office
Facility Name RESTAURA HEALTH, LLC
Street 924 WEST SPRING STREET, SUITE B
City MONROE
State GA
ZIP 30655
Phone 770 266-0933
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2024
Certificate Expiration Date 9/9/2026
Facility Type Physician Office
Lab Director MARIBELLE VERDIALES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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