34D2276085 CLIA NUMBER - FOCUSED ADDICTION RECOVERY LLC

Laboratory Demographics

  • CLIA Code: 34D2276085
  • Facility Name: FOCUSED ADDICTION RECOVERY LLC
  • Facility Address: 102 W. MAIN ST.
    WALLACE, NC
    ZIP 28466
  • Facility Phone: 910 788-4242
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: CHARLES A. LEWIS
  • NPI Number: 1053052134
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2276085
LAB Type Comp. Outpatient Rehab Facility
Facility Name FOCUSED ADDICTION RECOVERY LLC
Street 102 W. MAIN ST.
City WALLACE
State NC
ZIP 28466
Phone 910 788-4242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2025
Certificate Expiration Date 2/1/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director CHARLES A. LEWIS

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