45D2311437 CLIA NUMBER - REVIVE HEALTH PLLC

Laboratory Demographics

  • CLIA Code: 45D2311437
  • Facility Name: REVIVE HEALTH PLLC
  • Facility Address: 10611 GARLAND RD, SUITE 114
    DALLAS, TX
    ZIP 75218
  • Facility Phone: 214 396-6331
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARIFE ABID
  • NPI Number: 1114643285
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2311437
LAB Type Physician Office
Facility Name REVIVE HEALTH PLLC
Street 10611 GARLAND RD, SUITE 114
City DALLAS
State TX
ZIP 75218
Phone 214 396-6331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Physician Office
Lab Director ARIFE ABID

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