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REVIVE SURGICENTER LLC
NPI 1023816774
Clinic/Center - Ambulatory Surgical in Pompano Beach, FL

Active since March 06, 2025CLIA 10D2328730 · Waiver
1347 E SAMPLE RD STE 102, POMPANO BEACH, FL 33064(314) 283-8738 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revive Surgicenter Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVIVE SURGICENTER LLC (NPI 1023816774) is a healthcare organization registered as an ambulatory surgical in Pompano Beach, Florida and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through August 14, 2027 and lists Dane Pohlman, Owner, as its authorized official.

NPPES Registry Identity

NPI1023816774
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameREVIVE SURGICENTER LLC
Location Address1347 E SAMPLE RD STE 102Pompano Beach, FL 33064-6278
Mailing Address1347 E Sample Rd Ste 102Pompano Beach, FL 33064-6278
Phone(314) 283-8738
Organization SubpartNo
Authorized OfficialDane PohlmanOwner · (314) 283-8738
Enumeration DateMarch 6, 2025
NPPES CertifiedMarch 6, 2025
✔ NPI 1023816774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1347 E SAMPLE RD STE 102, Pompano Beach, FL 33064
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2328730

Revive Surgicenter LLC · Pompano Beach, FL
Active · expires Aug 14, 2027
CLIA Number10D2328730
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 15, 2025
Certificate Expiration DateAugust 14, 2027
Laboratory DirectorDane C. Pohlman
Laboratory Phone(754) 331-0168
Laboratory LocationRevive Surgicenter LLC1347 E Sample Road, Suite B, Pompano Beach, FL 33064
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revive Surgicenter LLC's NPI number?

The NPI number for Revive Surgicenter LLC is 1023816774. It was assigned to this organization in the NPPES registry on March 6, 2025.

Where is Revive Surgicenter LLC located?

Revive Surgicenter LLC is located at 1347 E Sample Rd Ste 102, Pompano Beach, FL 33064. The listed phone number is (314) 283-8738.

What is Revive Surgicenter LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Revive Surgicenter LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2328730) is associated with this NPI, valid through August 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Revive Surgicenter LLC was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.