11D2159860 CLIA NUMBER - RESTORATION RECOVERY

Laboratory Demographics

  • CLIA Code: 11D2159860
  • Facility Name: RESTORATION RECOVERY
  • Facility Address: 1500 DUG GAP ROAD
    DALTON, GA
    ZIP 30720
  • Facility Phone: 423 498-2000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSHUA L. HARE
  • NPI Number: 1770011652
  • Taxonomy: 2083A0300X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2159860
LAB Type Physician Office
Facility Name RESTORATION RECOVERY
Street 1500 DUG GAP ROAD
City DALTON
State GA
ZIP 30720
Phone 423 498-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Physician Office
Lab Director JOSHUA L. HARE

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