44D2154752 CLIA NUMBER - REVIDA RECOVERY CENTERS, PC

Laboratory Demographics

  • CLIA Code: 44D2154752
  • Facility Name: REVIDA RECOVERY CENTERS, PC
  • Facility Address: 5864 HWY 153, SUITE 112
    HIXSON, TN
    ZIP 37343
  • Facility Phone: 423 243-3342
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAREN E. AVERY
  • NPI Number: 1396288890
  • Taxonomy: 207RA0401X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2154752
LAB Type Physician Office
Facility Name REVIDA RECOVERY CENTERS, PC
Street 5864 HWY 153, SUITE 112
City HIXSON
State TN
ZIP 37343
Phone 423 243-3342
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Physician Office
Lab Director KAREN E. AVERY

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