CLIA lab
CLIA 26D2043709: Revitalife Wellness Center, LLC
St. Louis, MO. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 26D2043709 belongs to Revitalife Wellness Center, LLC in St. Louis, MO.
Certificate of Waiver, effective July 9, 2026, expires July 8, 2028.
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
- July 9, 2026
- Certificate expiration
- July 8, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 9, 2012
- 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
- 26D2043709
- Lab name
- Revitalife Wellness Center, LLC
- Address
- 13354 Manchester Road, Suite 100, St. Louis, MO 63131
- Phone
- (314) 475-3126
- Fax
- (314) 475-3127
Annual test volume the lab reported
- Waived tests
- 375
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 Revitalife Wellness Center, LLC in St. Louis?
26D2043709, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Revitalife Wellness Center, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 26D2043709 expire?
The CMS file lists July 8, 2028 as the certificate expiration date; the certificate took effect July 9, 2026.