10D1027487 CLIA NUMBER - REVA INC

Laboratory Demographics

  • CLIA Code: 10D1027487
  • Facility Name: REVA INC
  • Facility Address: 1745 NW 51ST PL HANGER 73
    FORT LAUDERDALE, FL
    ZIP 33309
  • Facility Phone: 954 730-9300
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DAVID FARCY
  • NPI Number: 1568580926
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 10D1027487
LAB Type Other
Facility Name REVA INC
Street 1745 NW 51ST PL HANGER 73
City FORT LAUDERDALE
State FL
ZIP 33309
Phone 954 730-9300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Other
Lab Director DAVID FARCY

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This page was last updated on: 9/29/2025