SOUTHEASTERN RECOVERY CENTER
NPI 1124703988
Clinic/Center - Rehabilitation, Substance Use Disorder in Concord, NC
About Southeastern Recovery Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEASTERN RECOVERY CENTER (NPI 1124703988) is a healthcare organization registered as a rehabilitation, substance use disorder in Concord, North Carolina and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through October 18, 2027 and lists Jamison Hoffman, Director Of Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D2292018
- Facility Type
- Health Main. Organization
- Certificate Effective Date
- October 19, 2025
- Certificate Expiration Date
- October 18, 2027
- Laboratory Director
- DAVID M. STERN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southeastern Recovery Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124703988, enumerated as an "organization" on June 20, 2023.
The provider is located at 1018 LEE ANN DR CONCORD, NC 28025 and the phone number is (404) 771-9863.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.
