44D2278739 CLIA NUMBER - RESTORATION HOUSE MINISTRIES

Laboratory Demographics

  • CLIA Code: 44D2278739
  • Facility Name: RESTORATION HOUSE MINISTRIES
  • Facility Address: 2450 WINFIELD DUNN PKWY
    KODAK, TN
    ZIP 37764
  • Facility Phone: 865 805-0567
  • Facility Type: Other - OUTPATIENT SUBSTANCE TREA
  • Facility Type: Waiver
  • Lab Director: MATT JOHNSON
  • NPI Number: 1821783374
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 44D2278739
LAB Type Other - OUTPATIENT SUBSTANCE TREA
Facility Name RESTORATION HOUSE MINISTRIES
Street 2450 WINFIELD DUNN PKWY
City KODAK
State TN
ZIP 37764
Phone 865 805-0567
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Other - OUTPATIENT SUBSTANCE TREA
Lab Director MATT JOHNSON

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