TIDE LABORATORIES, LLC
NPI 1306343231
Clinical Medical Laboratory in Fort Payne, AL

Active since April 08, 2018CLIA 01D2119386 · Accreditation
913 AIRPORT RD W STE B, FORT PAYNE, AL 35968(256) 845-1261 Get Directions Write a Review

NPPES record last updated: April 8, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tide Laboratories, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIDE LABORATORIES, LLC (NPI 1306343231), doing business as Tide Tox, Llc, is a healthcare organization registered as a clinical medical laboratory in Fort Payne, Alabama and active in the NPI registry since April 2018. The organization holds an CLIA Accreditation certificate valid through June 20, 2027 and lists Trevor Jordan Cleckler, Member, as its authorized official.

NPPES Registry Identity

NPI1306343231
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameTIDE LABORATORIES, LLC
Location Address913 AIRPORT RD W STE BFort Payne, AL 35968-3315
Mailing Address913 Airport Rd W Ste BFort Payne, AL 35968-3315 · (256) 845-1261
Organization SubpartNo
Authorized OfficialTrevor Jordan ClecklerMember · (256) 516-4153
Enumeration DateApril 8, 2018
NPI 1306343231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in AL · 01D2119386
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
913 AIRPORT RD W STE B, Fort Payne, AL 35968

Other Names 1

Former Legal Business NameTide Tox, Llc

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 01D2119386

Tide Laboratories LLC · Fort Payne, AL
Active · expires Jun 20, 2027
CLIA Number01D2119386
Laboratory TypeIndependent
Certificate Effective DateJune 21, 2025
Certificate Expiration DateJune 20, 2027
Laboratory DirectorElizabeth Rayburn
Laboratory Phone(256) 845-1261
Laboratory LocationTide Laboratories LLC913 Airport Road, Fort Payne, AL 35968
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tide Laboratories, LLC's NPI number?

The NPI number for Tide Laboratories, LLC is 1306343231. It was assigned to this organization in the NPPES registry on April 8, 2018. The provider was formerly known as Tide Tox, LLC.

Where is Tide Laboratories, LLC located?

Tide Laboratories, LLC is located at 913 Airport Rd W Ste B, Fort Payne, AL 35968. The listed phone number is (256) 845-1261.

What is Tide Laboratories, LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Tide Laboratories, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 01D2119386) is associated with this NPI, valid through June 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tide Laboratories, LLC was last updated on April 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.