11D2254033 CLIA NUMBER - SUNRISE DETOX DULUTH, LLC

Laboratory Demographics

  • CLIA Code: 11D2254033
  • Facility Name: SUNRISE DETOX DULUTH, LLC
  • Facility Address: 3390 NORTH BERKELEY LAKE ROAD SUITE A
    DULUTH, GA
    ZIP 30096
  • Facility Phone: 470 704-5010
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: THOMAS LOCKE
  • NPI Number: 1649914813
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2254033
LAB Type Independent
Facility Name SUNRISE DETOX DULUTH, LLC
Street 3390 NORTH BERKELEY LAKE ROAD SUITE A
City DULUTH
State GA
ZIP 30096
Phone 470 704-5010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Independent
Lab Director THOMAS LOCKE

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