45D2264252 CLIA NUMBER - ORIGINS SPI, LLC DBA RESTORED PATH DETOX

Laboratory Demographics

  • CLIA Code: 45D2264252
  • Facility Name: ORIGINS SPI, LLC DBA RESTORED PATH DETOX
  • Facility Address: 11777 LEBANON RD
    FRISCO, TX
    ZIP 75035
  • Facility Phone: 214 817-4939
  • Facility Type: Other - RESIDENT DETOX FACILITY
  • Facility Type: Waiver
  • Lab Director: EFOSA AIRUEHIA
  • NPI Number: 1962152405
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2264252
LAB Type Other - RESIDENT DETOX FACILITY
Facility Name ORIGINS SPI, LLC DBA RESTORED PATH DETOX
Street 11777 LEBANON RD
City FRISCO
State TX
ZIP 75035
Phone 214 817-4939
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2024
Certificate Expiration Date 7/11/2026
Facility Type Other - RESIDENT DETOX FACILITY
Lab Director EFOSA AIRUEHIA

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