44D0891176 CLIA NUMBER - RHA/TRENTON MR INC DBA RHA WEST TENNESSEE

Laboratory Demographics

CLIA Code: 44D0891176
Facility Name: RHA/TRENTON MR INC DBA RHA WEST TENNESSEE
Facility Address: 2055 HWY 45 BYPASS
TRENTON, TN
ZIP 38382
Facility Phone: 731 855-0537
Facility Type: Intermediate Care Facility for Mentally Retarded
Facility Type: Waiver
Lab Director: TERRY REVELL
NPI Number: 1215262654
Taxonomy: 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Map and Directions

Get Directions

CLIA Record

Field Name	Field Value
CLIA Number	44D0891176
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	RHA/TRENTON MR INC DBA RHA WEST TENNESSEE
Street	2055 HWY 45 BYPASS
City	TRENTON
State	TN
ZIP	38382
Phone	731 855-0537
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	9/1/2024
Certificate Expiration Date	8/31/2026
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	TERRY REVELL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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