11D2309358 CLIA NUMBER - RESTORATION HOPE WELLNESS

Laboratory Demographics

  • CLIA Code: 11D2309358
  • Facility Name: RESTORATION HOPE WELLNESS
  • Facility Address: 107 ENTERPRISE PATH, SUITE 301
    HIRAM, GA
    ZIP 30141
  • Facility Phone: 470 625-2466
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSHUA A. YAGER
  • NPI Number: 1285842799
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2309358
LAB Type Physician Office
Facility Name RESTORATION HOPE WELLNESS
Street 107 ENTERPRISE PATH, SUITE 301
City HIRAM
State GA
ZIP 30141
Phone 470 625-2466
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2024
Certificate Expiration Date 8/13/2026
Facility Type Physician Office
Lab Director JOSHUA A. YAGER

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