11D2268357 CLIA NUMBER - GEORGIA CTC LLC DBA WOODSTOCK COMPREHENSIVE TREATMENT CTR

Laboratory Demographics

  • CLIA Code: 11D2268357
  • Facility Name: GEORGIA CTC LLC DBA WOODSTOCK COMPREHENSIVE TREATMENT CTR
  • Facility Address: 270 HERITAGE WALK
    WOODSTOCK, GA
    ZIP 30188
  • Facility Phone: 760 459-1418
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: NALINI SINGH
  • NPI Number: 1407582042
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2268357
LAB Type Comp. Outpatient Rehab Facility
Facility Name GEORGIA CTC LLC DBA WOODSTOCK COMPREHENSIVE TREATMENT CTR
Street 270 HERITAGE WALK
City WOODSTOCK
State GA
ZIP 30188
Phone 760 459-1418
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director NALINI SINGH

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