44D2079983 CLIA NUMBER - RESTORATION CLINIC, PLLC

Laboratory Demographics

  • CLIA Code: 44D2079983
  • Facility Name: RESTORATION CLINIC, PLLC
  • Facility Address: 17619 STATE HWY 58 N
    DECATUR, TN
    ZIP 37322
  • Facility Phone: 423 334-2300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ENGLISH ROBERTS
  • NPI Number: 1205248796
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2079983
LAB Type Physician Office
Facility Name RESTORATION CLINIC, PLLC
Street 17619 STATE HWY 58 N
City DECATUR
State TN
ZIP 37322
Phone 423 334-2300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2024
Certificate Expiration Date 6/26/2026
Facility Type Physician Office
Lab Director ENGLISH ROBERTS

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