44D2271233 CLIA NUMBER - LEWISBURG RECOVERY CENTER, LLC

Laboratory Demographics

CLIA Number: 44D2271233

Facility Name: LEWISBURG RECOVERY CENTER, LLC

Facility Address:
1149 NASHVILLE HIGHWAY
LEWISBURG, TN
ZIP 37091
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Facility Phone Number: 931 422-2444

Facility Type: Other - OPIOD TREATMENT CENTER

Certificate Type: Waiver

NPI Number: 1861132904

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D2271233
LAB Type	Other - OPIOD TREATMENT CENTER
Facility Name	LEWISBURG RECOVERY CENTER, LLC
Street	1149 NASHVILLE HIGHWAY
City	LEWISBURG
State	TN
ZIP	37091
Phone	931 422-2444
CertificateType	4
CertificateEffectiveDate	10/31/2022
CertificateExpirationDate	10/30/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024