44D2216848 CLIA NUMBER - REDEMPTION RECOVERY CENTER LLC DBA APPLEGATE RECOVERY SELMER

Laboratory Demographics

  • CLIA Code: 44D2216848
  • Facility Name: REDEMPTION RECOVERY CENTER LLC DBA APPLEGATE RECOVERY SELMER
  • Facility Address: 303 EAST POPLAR AVENUE
    SELMER, TN
    ZIP 38375
  • Facility Phone: 469 470-4779
  • Facility Type: Other - OT ADDICTION TREATMENT
  • Facility Type: Waiver
  • Lab Director: STEVEN WEAVER
  • NPI Number: 1124695416
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2216848
LAB Type Other - OT ADDICTION TREATMENT
Facility Name REDEMPTION RECOVERY CENTER LLC DBA APPLEGATE RECOVERY SELMER
Street 303 EAST POPLAR AVENUE
City SELMER
State TN
ZIP 38375
Phone 469 470-4779
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type Other - OT ADDICTION TREATMENT
Lab Director STEVEN WEAVER

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