34D2128199 CLIA NUMBER - THRIVE ADDICTIONS SERVICES

Laboratory Demographics

  • CLIA Code: 34D2128199
  • Facility Name: THRIVE ADDICTIONS SERVICES
  • Facility Address: 1611-B OWEN DRIVE
    FAYETTEVILLE, NC
    ZIP 28304
  • Facility Phone: 910 483-8500
  • Facility Type: Other - OUTPATIENT SUBSTANCE ABUS
  • Facility Type: Waiver
  • Lab Director: MICHAEL R. TROUT
  • NPI Number: 1053851865
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2128199
LAB Type Other - OUTPATIENT SUBSTANCE ABUS
Facility Name THRIVE ADDICTIONS SERVICES
Street 1611-B OWEN DRIVE
City FAYETTEVILLE
State NC
ZIP 28304
Phone 910 483-8500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Other - OUTPATIENT SUBSTANCE ABUS
Lab Director MICHAEL R. TROUT

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