CLIA lab
CLIA 49D2311687: Revive Clinic & IV Therapy
Manassas, VA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 49D2311687 belongs to Revive Clinic & IV Therapy in Manassas, VA.
Certificate of Waiver, effective September 26, 2024, expiration date September 25, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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 26, 2024
- Certificate expiration
- September 25, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 26, 2024
- Facility type
- Physician office
- 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
- 49D2311687
- Lab name
- Revive Clinic & IV Therapy
- Address
- 7000 Infantry Ridge Rd Suite 110, Manassas, VA 20109
- Phone
- (703) 828-8089
- Fax
- (703) 991-7440
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Arun K Gupta, PCCertificate of Waiver, Physician office49D1021861
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- Birmingham GreenCertificate of Waiver, Skilled nursing or nursing facility49D0886955
- Blue Dove Home Health Services, LLCCertificate of Waiver, Home health agency49D2046379
Related
Questions
What is the CLIA number for Revive Clinic & IV Therapy in Manassas?
49D2311687, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Revive Clinic & IV Therapy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 49D2311687 expire?
The CMS file lists September 25, 2026 as the certificate expiration date; the certificate took effect September 26, 2024.