11D2307257 CLIA NUMBER - LIFE REDISCOVERY CENTER

Laboratory Demographics

  • CLIA Code: 11D2307257
  • Facility Name: LIFE REDISCOVERY CENTER
  • Facility Address: 118 BYRD WAY, SUITE 300
    WARNER ROBINS, GA
    ZIP 31088
  • Facility Phone: 678 545-6768
  • Facility Type: Other - CORE PROVIDER
  • Facility Type: Waiver
  • Lab Director: FELICIA D. WATTS
  • NPI Number: 1427416577
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 11D2307257
LAB Type Other - CORE PROVIDER
Facility Name LIFE REDISCOVERY CENTER
Street 118 BYRD WAY, SUITE 300
City WARNER ROBINS
State GA
ZIP 31088
Phone 678 545-6768
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Other - CORE PROVIDER
Lab Director FELICIA D. WATTS

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