39D2280782 CLIA NUMBER - REVIVE CHIROPRACTIC

Laboratory Demographics

  • CLIA Code: 39D2280782
  • Facility Name: REVIVE CHIROPRACTIC
  • Facility Address: 2205 W MARKET ST
    POTTSVILLE, PA
    ZIP 17901
  • Facility Phone: (570) 621-4390
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRANDON E. AUCKER
  • NPI Number: 1548773708
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 39D2280782
LAB Type Physician Office
Facility Name REVIVE CHIROPRACTIC
Street 2205 W MARKET ST
City POTTSVILLE
State PA
ZIP 17901
Phone 5706214390
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Physician Office
Lab Director DR. BRANDON E. AUCKER

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This page was last updated on: 5/18/2026