CLIA lab
CLIA 43D2316471: Revitalize Wellness & Medical Spa, LLC
Madison, SD. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 43D2316471 belongs to Revitalize Wellness & Medical Spa, LLC in Madison, SD.
Certificate of Waiver, effective January 6, 2025, expires January 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
- January 6, 2025
- Certificate expiration
- January 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 6, 2025
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 43D2316471
- Lab name
- Revitalize Wellness & Medical Spa, LLC
- Address
- 411 South East 10th St Suite 102, Madison, SD 57042
- Phone
- (605) 556-1004
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Caron ChiropracticCertificate of Waiver, Other practitioner43D2036897
- Madison Chiropractic CenterCertificate of Waiver, Other practitioner43D2076915
- Madison Dialysis UnitCertificate of Waiver, End stage renal disease dialysis facility43D2140584
- Madison Regional Health SystemCertificate of Accreditation, Hospital43D0406869
- Peaceful Pines Senior Living - MadisonCertificate of Waiver, Assisted living facility43D2293668
- Turning Point Behavioral HealthCertificate of Waiver, Other43D2323701
- Vibrance Aesthetics & Med Spa, PLLCCertificate of Waiver, Other practitioner43D2327276
Related
Questions
What is the CLIA number for Revitalize Wellness & Medical Spa, LLC in Madison?
43D2316471, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Revitalize Wellness & Medical Spa, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 43D2316471 expire?
The CMS file lists January 5, 2027 as the certificate expiration date; the certificate took effect January 6, 2025.