44D2010645 CLIA NUMBER - DEANA BARTON DBA REJUVENATION

Laboratory Demographics

  • CLIA Code: 44D2010645
  • Facility Name: DEANA BARTON DBA REJUVENATION
  • Facility Address: 455 HIGH CLIFF ROAD
    JELLICO, TN
    ZIP 37762
  • Facility Phone: 865 617-0437
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DEANA R. BARTON
  • NPI Number: 1053626358
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 44D2010645
LAB Type Practitioner Other
Facility Name DEANA BARTON DBA REJUVENATION
Street 455 HIGH CLIFF ROAD
City JELLICO
State TN
ZIP 37762
Phone 865 617-0437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Practitioner Other
Lab Director DEANA R. BARTON

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