34D2079039 CLIA NUMBER - JOHNSTON RECOVERY SERVICES

Laboratory Demographics

  • CLIA Code: 34D2079039
  • Facility Name: JOHNSTON RECOVERY SERVICES
  • Facility Address: 1699 OLD US HWY 70 W
    CLAYTON, NC
    ZIP 27520
  • Facility Phone: 919 359-1699
  • Facility Type: Other - METHADONE CLINIC
  • Facility Type: Waiver
  • Lab Director: JENNIFER DAVISON
  • NPI Number: 1851619258
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2079039
LAB Type Other - METHADONE CLINIC
Facility Name JOHNSTON RECOVERY SERVICES
Street 1699 OLD US HWY 70 W
City CLAYTON
State NC
ZIP 27520
Phone 919 359-1699
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2024
Certificate Expiration Date 6/9/2026
Facility Type Other - METHADONE CLINIC
Lab Director JENNIFER DAVISON

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