11D2311026 CLIA NUMBER - FRONT PORCH RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 11D2311026
  • Facility Name: FRONT PORCH RECOVERY CENTER
  • Facility Address: 302 RICH HOPE PLANTATION ROAD
    PORT WENTWORTH, GA
    ZIP 31407
  • Facility Phone: 925 948-5035
  • Facility Type: Other - DATEP
  • Facility Type: Waiver
  • Lab Director: KATY J. PARKER
  • NPI Number: 1831853852
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D2311026
LAB Type Other - DATEP
Facility Name FRONT PORCH RECOVERY CENTER
Street 302 RICH HOPE PLANTATION ROAD
City PORT WENTWORTH
State GA
ZIP 31407
Phone 925 948-5035
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Other - DATEP
Lab Director KATY J. PARKER

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