11D2313471 CLIA NUMBER - RESTAURA BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 11D2313471
  • Facility Name: RESTAURA BEHAVIORAL HEALTH
  • Facility Address: 2450 LAWRENCEVILLE HWY
    DECATUR, GA
    ZIP 30030
  • Facility Phone: 404 310-8090
  • Facility Type: Other - INTENSIVE O/P TREAT PRO
  • Facility Type: Waiver
  • Lab Director: SIMON FENSTERSCAUB
  • NPI Number: 1487491270
  • Taxonomy: 261QR0405X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2313471
LAB Type Other - INTENSIVE O/P TREAT PRO
Facility Name RESTAURA BEHAVIORAL HEALTH
Street 2450 LAWRENCEVILLE HWY
City DECATUR
State GA
ZIP 30030
Phone 404 310-8090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Other - INTENSIVE O/P TREAT PRO
Lab Director SIMON FENSTERSCAUB

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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