33D1052821 CLIA NUMBER - REVIVAL HOME HEALTH CARE

Laboratory Demographics

  • CLIA Code: 33D1052821
  • Facility Name: REVIVAL HOME HEALTH CARE
  • Facility Address: 5350 KINGS HIGHWAY
    BROOKLYN, NY
    ZIP 11203
  • Facility Phone: 718 629-1000
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DR. STEVEN SIEGEL
  • NPI Number: 1841233178
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 33D1052821
LAB Type Home Health Agency
Facility Name REVIVAL HOME HEALTH CARE
Street 5350 KINGS HIGHWAY
City BROOKLYN
State NY
ZIP 11203
Phone 718 629-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2018
Certificate Expiration Date 3/26/2027
Facility Type Home Health Agency
Lab Director DR. STEVEN SIEGEL

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