11D2281515 CLIA NUMBER - EDGE TREATMENT LLC

Laboratory Demographics

  • CLIA Code: 11D2281515
  • Facility Name: EDGE TREATMENT LLC
  • Facility Address: 11204 ALPHARETTA HIGHWAY H4
    ROSWELL, GA
    ZIP 30076
  • Facility Phone: 706 342-6024
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: JOHN W. SPICER
  • NPI Number: 1265216683
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D2281515
LAB Type Comp. Outpatient Rehab Facility
Facility Name EDGE TREATMENT LLC
Street 11204 ALPHARETTA HIGHWAY H4
City ROSWELL
State GA
ZIP 30076
Phone 706 342-6024
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2025
Certificate Expiration Date 5/8/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director JOHN W. SPICER

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