CLIA lab
CLIA 07D2175902: Revolution Integrative Health
Bloomfield, CT. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 07D2175902 belongs to Revolution Integrative Health in Bloomfield, CT.
Certificate of Waiver, effective December 4, 2025, expires December 3, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- December 4, 2025
- Certificate expiration
- December 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 4, 2019
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 07D2175902
- Lab name
- Revolution Integrative Health
- Address
- 701 Cottage Gorve Rd, Suite F 210, Bloomfield, CT 06002
- Phone
- (860) 969-3433
- Fax
- (860) 736-2379
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Revolution Integrative Health in Bloomfield?
07D2175902, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Revolution Integrative Health hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 07D2175902 expire?
The CMS file lists December 3, 2027 as the certificate expiration date; the certificate took effect December 4, 2025.