44D2301782 CLIA NUMBER - LIVE AGAIN DETOX CENTER, LLC

Laboratory Demographics

  • CLIA Code: 44D2301782
  • Facility Name: LIVE AGAIN DETOX CENTER, LLC
  • Facility Address: 1618 17TH AVE S
    NASHVILLE, TN
    ZIP 37212
  • Facility Phone: 704 249-8767
  • Facility Type: Other - BEHAVIORAL HEALTH DETOX
  • Facility Type: Waiver
  • Lab Director: MARK D. MILLER
  • NPI Number: 1669229332
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 44D2301782
LAB Type Other - BEHAVIORAL HEALTH DETOX
Facility Name LIVE AGAIN DETOX CENTER, LLC
Street 1618 17TH AVE S
City NASHVILLE
State TN
ZIP 37212
Phone 704 249-8767
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Other - BEHAVIORAL HEALTH DETOX
Lab Director MARK D. MILLER

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