44D2216856 CLIA NUMBER - REDEMPTION RECOVERY CENTER LLC DBA APPLEGATE RECOVERY DYERSBURG

Laboratory Demographics

  • CLIA Code: 44D2216856
  • Facility Name: REDEMPTION RECOVERY CENTER LLC DBA APPLEGATE RECOVERY DYERSBURG
  • Facility Address: 305 E TICKLE STREET
    DYERSBURG, TN
    ZIP 38024
  • Facility Phone: 469 470-4779
  • Facility Type: Other - OT ADDICTION TREATMENT
  • Facility Type: Waiver
  • Lab Director: GARY MCBRIDE
  • NPI Number: 1639746928
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2216856
LAB Type Other - OT ADDICTION TREATMENT
Facility Name REDEMPTION RECOVERY CENTER LLC DBA APPLEGATE RECOVERY DYERSBURG
Street 305 E TICKLE STREET
City DYERSBURG
State TN
ZIP 38024
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 GARY MCBRIDE

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