11D2323649 CLIA NUMBER - RIVER CITY RECOVERY, LLC

Laboratory Demographics

  • CLIA Code: 11D2323649
  • Facility Name: RIVER CITY RECOVERY, LLC
  • Facility Address: 3822 ROSEMONT DRIVE
    COLUMBUS, GA
    ZIP 31904
  • Facility Phone: 706 604-5369
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: PHILIP LAND
  • NPI Number: 1245773811
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 11D2323649
LAB Type Ancillary Testing Site in Health Care Center
Facility Name RIVER CITY RECOVERY, LLC
Street 3822 ROSEMONT DRIVE
City COLUMBUS
State GA
ZIP 31904
Phone 706 604-5369
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director PHILIP LAND

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