44D2295374 CLIA NUMBER - RESTORATION CLINIC

Laboratory Demographics

  • CLIA Code: 44D2295374
  • Facility Name: RESTORATION CLINIC
  • Facility Address: 16850 STATE HWY 58 SOUTH, SUITE A
    DECATUR, TN
    ZIP 37322
  • Facility Phone: 423 334-2300
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: ENGLISH ROBERTS
  • NPI Number: 1588274708
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 44D2295374
LAB Type Rural Health Clinic
Facility Name RESTORATION CLINIC
Street 16850 STATE HWY 58 SOUTH, SUITE A
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 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type Rural Health Clinic
Lab Director ENGLISH ROBERTS

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