CLIA lab

CLIA 19D2167394: Lincoln Nova Vital Recovery

Ruston, LA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 19D2167394 belongs to Lincoln Nova Vital Recovery in Ruston, LA.

Certificate of Waiver, effective June 6, 2025, expires June 5, 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
June 6, 2025
Certificate expiration
June 5, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 6, 2019
Facility type
Other
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
19D2167394
Lab name
Lincoln Nova Vital Recovery
Address
4396 Highway 80, Ruston, LA 71270
Phone
(318) 251-4659
Fax
(318) 513-3612

Annual test volume the lab reported

Waived tests
5,625

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 Lincoln Nova Vital Recovery in Ruston?

19D2167394, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lincoln Nova Vital Recovery hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 19D2167394 expire?

The CMS file lists June 5, 2027 as the certificate expiration date; the certificate took effect June 6, 2025.

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