11D2293294 CLIA NUMBER - FAIRLAND RECOVERY CENTER INC

Laboratory Demographics

  • CLIA Code: 11D2293294
  • Facility Name: FAIRLAND RECOVERY CENTER INC
  • Facility Address: 4451 ALABAMA HIGHWAY NW
    ROME, GA
    ZIP 30165
  • Facility Phone: 770 296-4555
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: CONNOR LAWRENCE
  • NPI Number: 1730954777
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D2293294
LAB Type Comp. Outpatient Rehab Facility
Facility Name FAIRLAND RECOVERY CENTER INC
Street 4451 ALABAMA HIGHWAY NW
City ROME
State GA
ZIP 30165
Phone 770 296-4555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Comp. Outpatient Rehab Facility
Lab Director CONNOR LAWRENCE

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