10D2233194 CLIA NUMBER - PAYAL JHAWAR MD LLC DBA REVIVE MD DIRECT PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D2233194
  • Facility Name: PAYAL JHAWAR MD LLC DBA REVIVE MD DIRECT PRIMARY CARE
  • Facility Address: 2810 MANATEE AVENUE E
    BRADENTON, FL
    ZIP 34208
  • Facility Phone: 941 777-5118
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAYAL JHAWAR
  • NPI Number: 1851617427
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2233194
LAB Type Physician Office
Facility Name PAYAL JHAWAR MD LLC DBA REVIVE MD DIRECT PRIMARY CARE
Street 2810 MANATEE AVENUE E
City BRADENTON
State FL
ZIP 34208
Phone 941 777-5118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2025
Certificate Expiration Date 8/19/2027
Facility Type Physician Office
Lab Director PAYAL JHAWAR

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