11D2315885 CLIA NUMBER - TRU THERAPY LPC, CORP

Laboratory Demographics

  • CLIA Code: 11D2315885
  • Facility Name: TRU THERAPY LPC, CORP
  • Facility Address: 2100 CENTRAL AVENUE, SUITE D 1
    AUGUSTA, GA
    ZIP 30904
  • Facility Phone: 706 843-6241
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WAYNE STEIN
  • NPI Number: 1992224299
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 11D2315885
LAB Type Physician Office
Facility Name TRU THERAPY LPC, CORP
Street 2100 CENTRAL AVENUE, SUITE D 1
City AUGUSTA
State GA
ZIP 30904
Phone 706 843-6241
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Physician Office
Lab Director WAYNE STEIN

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