CLIA lab
CLIA 10D2328730: Revive Surgicenter LLC
Pompano Beach, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 10D2328730 belongs to Revive Surgicenter LLC in Pompano Beach, FL.
Certificate of Waiver, effective August 15, 2025, expires August 14, 2027.
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
- August 15, 2025
- Certificate expiration
- August 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 15, 2025
- Facility type
- Ambulatory surgery center
- 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
- 10D2328730
- Lab name
- Revive Surgicenter LLC
- Address
- 1347 E Sample Road, Suite B, Pompano Beach, FL 33064
- Phone
- (754) 331-0168
- Fax
- (754) 331-0168
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- American Medical ResponseCertificate of Waiver, Other10D0899437
- Ameripath Florida IncCertificate of Accreditation, Independent10D0645438
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- Aqua Dermatology of Florida, PACertificate of Compliance, Physician office10D2020702
- Atlantic Pain Relief CenterCertificate of Waiver, Physician office10D2255503
Related
Questions
What is the CLIA number for Revive Surgicenter LLC in Pompano Beach?
10D2328730, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Revive Surgicenter LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 10D2328730 expire?
The CMS file lists August 14, 2027 as the certificate expiration date; the certificate took effect August 15, 2025.