01D2277640 CLIA NUMBER - REVIVE MEDICAL CENTER, LLC

Laboratory Demographics

  • CLIA Code: 01D2277640
  • Facility Name: REVIVE MEDICAL CENTER, LLC
  • Facility Address: 1728 11TH AVE
    HALEYVILLE, AL
    ZIP 35565
  • Facility Phone: 205 485-7822
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. CHENYI JEFFREY CHENYI
  • NPI Number: 1740996636
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2277640
LAB Type Physician Office
Facility Name REVIVE MEDICAL CENTER, LLC
Street 1728 11TH AVE
City HALEYVILLE
State AL
ZIP 35565
Phone 205 485-7822
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Physician Office
Lab Director DR. CHENYI JEFFREY CHENYI

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