49D2163554 CLIA NUMBER - AMERICAN ADDICTION TREATMENT CENTER, HAYES

Laboratory Demographics

CLIA Number: 49D2163554

Facility Name: AMERICAN ADDICTION TREATMENT CENTER, HAYES

Facility Address:
6983C MID COUNTY DRIVE
HAYES, VA
ZIP 23072
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Facility Phone Number: 804 824-2814

Facility Type: Other - OPIOID TREATMENT PROGRAM

Certificate Type: Waiver

NPI Number: 1710540919

Taxonomy: 261QM2800X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

CLIA Record

Field Name Field Value
CLIA Number 49D2163554
LAB Type Other - OPIOID TREATMENT PROGRAM
Facility Name AMERICAN ADDICTION TREATMENT CENTER, HAYES
Street 6983C MID COUNTY DRIVE
City HAYES
State VA
ZIP 23072
Phone 804 824-2814
CertificateType 4
CertificateEffectiveDate 3/18/2023
CertificateExpirationDate 3/17/2025
FacilityType Waiver

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