11D2302867 CLIA NUMBER - THE RECOVERY VILLAGE SOUTH ATLANTA

Laboratory Demographics

  • CLIA Code: 11D2302867
  • Facility Name: THE RECOVERY VILLAGE SOUTH ATLANTA
  • Facility Address: 1000 EAGLES LANDING PARKWAY
    STOCKBRIDGE, GA
    ZIP 30281
  • Facility Phone: (754) 300-3120
  • Facility Type: Other - RESIDENTIAL TREATMENT FAC
  • Facility Type: Waiver
  • Lab Director: MALAIKA BERKELEY
  • NPI Number: 1093251225
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D2302867
LAB Type Other - RESIDENTIAL TREATMENT FAC
Facility Name THE RECOVERY VILLAGE SOUTH ATLANTA
Street 1000 EAGLES LANDING PARKWAY
City STOCKBRIDGE
State GA
ZIP 30281
Phone 7543003120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2026
Certificate Expiration Date 4/16/2028
Facility Type Other - RESIDENTIAL TREATMENT FAC
Lab Director MALAIKA BERKELEY

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This page was last updated on: 5/18/2026