CLIA lab
CLIA 23D2168411: Revival Research Institute, LLC
Troy, MI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 23D2168411 belongs to Revival Research Institute, LLC in Troy, MI.
Certificate of Waiver, effective June 28, 2025, expires June 27, 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
- June 28, 2025
- Certificate expiration
- June 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 28, 2019
- Facility type
- Other
- 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
- 23D2168411
- Lab name
- Revival Research Institute, LLC
- Address
- 1575 W Big Beaver Road C10, Troy, MI 48084
- Phone
- (248) 721-9539
- Fax
- (248) 721-9539
Annual test volume the lab reported
- Waived tests
- 40
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 Revival Research Institute, LLC in Troy?
23D2168411, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Revival Research Institute, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 23D2168411 expire?
The CMS file lists June 27, 2027 as the certificate expiration date; the certificate took effect June 28, 2025.