CLIA lab
CLIA 44D2339315: Revive Primary Care and Medspa PLLC
La Follette, TN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 44D2339315 belongs to Revive Primary Care and Medspa PLLC in La Follette, TN.
Certificate of Waiver, effective February 27, 2026, expires February 26, 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
- February 27, 2026
- Certificate expiration
- February 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 27, 2026
- 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
- 44D2339315
- Lab name
- Revive Primary Care and Medspa PLLC
- Address
- 2221 Jacksboro Pike, Ste A18, La Follette, TN 37766
- Phone
- (937) 408-7606
- Fax
- (865) 223-1923
Annual test volume the lab reported
- Waived tests
- 1,000
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 Revive Primary Care and Medspa PLLC in La Follette?
44D2339315, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Revive Primary Care and Medspa PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 44D2339315 expire?
The CMS file lists February 26, 2028 as the certificate expiration date; the certificate took effect February 27, 2026.