11D2297692 CLIA NUMBER - RECOVERY DBT LLC

Laboratory Demographics

  • CLIA Code: 11D2297692
  • Facility Name: RECOVERY DBT LLC
  • Facility Address: 1640 POWERS FERRY ROAD 4-300
    MARIETTA, GA
    ZIP 30067
  • Facility Phone: 678 336-6875
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: BRYON MCQUIRT
  • NPI Number: 1427798891
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2297692
LAB Type Independent
Facility Name RECOVERY DBT LLC
Street 1640 POWERS FERRY ROAD 4-300
City MARIETTA
State GA
ZIP 30067
Phone 678 336-6875
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Independent
Lab Director BRYON MCQUIRT

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