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19D2267298 CLIA NUMBER - AVENUES RECOVERY CENTER AT COVINGTON

Laboratory Demographics

CLIA Number: 19D2267298

Facility Name: AVENUES RECOVERY CENTER AT COVINGTON

Facility Address:
195 HIGHLAND PARK PLAZA, SUITE 100
COVINGTON, LA
ZIP 70433
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Facility Phone Number: 985 465-5555

Facility Type: Other - DETOX/RESIDENTIAL TX

Certificate Type: Waiver
NPI Number: 1629720081

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name Field Value
CLIA Number 19D2267298
LAB Type Other - DETOX/RESIDENTIAL TX
Facility Name AVENUES RECOVERY CENTER AT COVINGTON
Street 195 HIGHLAND PARK PLAZA, SUITE 100
City COVINGTON
State LA
ZIP 70433
Phone 985 465-5555
CertificateType 4
CertificateEffectiveDate 8/23/2022
CertificateExpirationDate 8/22/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024