11D2242348 CLIA NUMBER - EMPOWERED RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 11D2242348
  • Facility Name: EMPOWERED RECOVERY CENTER
  • Facility Address: 3651 CANTON ROAD
    MARIETTA, GA
    ZIP 30066
  • Facility Phone: (470) 295-3152
  • Facility Type: Other - SUBSTANCE ABUSE TREAT CTR
  • Facility Type: Waiver
  • Lab Director: FORREST RICHARDSON
  • NPI Number: 1124997978
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D2242348
LAB Type Other - SUBSTANCE ABUSE TREAT CTR
Facility Name EMPOWERED RECOVERY CENTER
Street 3651 CANTON ROAD
City MARIETTA
State GA
ZIP 30066
Phone 4702953152
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2025
Certificate Expiration Date 11/7/2027
Facility Type Other - SUBSTANCE ABUSE TREAT CTR
Lab Director FORREST RICHARDSON

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This page was last updated on: 5/18/2026