11D2327835 CLIA NUMBER - LANIER RECOVERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 11D2327835
  • Facility Name: LANIER RECOVERY CENTER, LLC
  • Facility Address: 4510 NELSON BROGDON BLVD, SUITE B
    SUGAR HILL, GA
    ZIP 30518
  • Facility Phone: 706 296-7859
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: JAMES M. ROGAN
  • NPI Number: 1194604926
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2327835
LAB Type Ancillary Testing Site in Health Care Center
Facility Name LANIER RECOVERY CENTER, LLC
Street 4510 NELSON BROGDON BLVD, SUITE B
City SUGAR HILL
State GA
ZIP 30518
Phone 706 296-7859
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director JAMES M. ROGAN

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