44D2210065 CLIA NUMBER - CLARKSVILLE ADDICTION RECOVERY LLC

Laboratory Demographics

  • CLIA Code: 44D2210065
  • Facility Name: CLARKSVILLE ADDICTION RECOVERY LLC
  • Facility Address: 1823 MEMORIAL DRIVE
    CLARKSVILLE, TN
    ZIP 37043
  • Facility Phone: 931 919-2742
  • Facility Type: Other - OFFICE OPIOD TREATMENT
  • Facility Type: Waiver
  • Lab Director: HUNTER WOOD
  • NPI Number: 1194276808
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 44D2210065
LAB Type Other - OFFICE OPIOD TREATMENT
Facility Name CLARKSVILLE ADDICTION RECOVERY LLC
Street 1823 MEMORIAL DRIVE
City CLARKSVILLE
State TN
ZIP 37043
Phone 931 919-2742
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2025
Certificate Expiration Date 1/18/2027
Facility Type Other - OFFICE OPIOD TREATMENT
Lab Director HUNTER WOOD

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