CLIA lab

CLIA 03D2310646: Revive Innovations PLLC

Safford, AZ. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 03D2310646 belongs to Revive Innovations PLLC in Safford, AZ.

Certificate of Waiver, effective September 6, 2026, expires September 5, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
September 6, 2026
Certificate expiration
September 5, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 6, 2024
Facility type
Community clinic
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
03D2310646
Lab name
Revive Innovations PLLC
Address
614 S 5th Ave, Safford, AZ 85546
Phone
(928) 228-5742
Fax
(928) 224-9767

Annual test volume the lab reported

Waived tests
50

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Revive Innovations PLLC in Safford?

03D2310646, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Revive Innovations PLLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 03D2310646 expire?

The CMS file lists September 5, 2028 as the certificate expiration date; the certificate took effect September 6, 2026.

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