49D2119889 CLIA NUMBER - ADDICTION RECOVERY SYSTEMS, LLC

Laboratory Demographics

  • CLIA Code: 49D2119889
  • Facility Name: ADDICTION RECOVERY SYSTEMS, LLC
  • Facility Address: 103 SOUTH PANTOPS DRIVE - SUITE 102
    CHARLOTTESVILLE, VA
    ZIP 22911
  • Facility Phone: 434 220-0080
  • Facility Type: Other - OUTPT SUBSTANCE ABUSE
  • Facility Type: Waiver
  • Lab Director: HOLLY JOHNSON
  • NPI Number: 1366853954
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2119889
LAB Type Other - OUTPT SUBSTANCE ABUSE
Facility Name ADDICTION RECOVERY SYSTEMS, LLC
Street 103 SOUTH PANTOPS DRIVE - SUITE 102
City CHARLOTTESVILLE
State VA
ZIP 22911
Phone 434 220-0080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2024
Certificate Expiration Date 10/4/2026
Facility Type Other - OUTPT SUBSTANCE ABUSE
Lab Director HOLLY JOHNSON

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This page was last updated on: 6/4/2025