REVIVE GENETICS LLC
NPI 1083568703
Clinical Medical Laboratory in Palmetto Bay, FL

Active since February 21, 2026CLIA 10D2337214 · Certificate of Compliance
9000 SW 152ND ST STE 107, PALMETTO BAY, FL 33157(786) 250-3419(786) 250-3079 Get Directions Write a Review

NPPES record last updated: February 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revive Genetics Llc NPPES

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

REVIVE GENETICS LLC (NPI 1083568703) is a healthcare organization registered as a clinical medical laboratory in Palmetto Bay, Florida and active in the NPI registry since February 2026. The organization holds a CLIA Certificate of Compliance certificate valid through January 19, 2028 and lists Farzaneh Modarresi, Owner, as its authorized official.

NPPES Registry Identity

NPI1083568703
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameREVIVE GENETICS LLC
Location Address9000 SW 152ND ST STE 107Palmetto Bay, FL 33157-1941
Mailing Address9000 Sw 152nd St Ste 107Palmetto Bay, FL 33157-1941 · (786) 250-3419 · Fax (786) 250-3079
Fax(786) 250-3079
Organization SubpartNo
Authorized OfficialFarzaneh ModarresiOwner · (786) 250-3419
Enumeration DateFebruary 21, 2026
NPPES CertifiedFebruary 21, 2026
NPI 1083568703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
9000 SW 152ND ST STE 107, Palmetto Bay, FL 33157

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 Compliance 10D2337214

Revive Genetics LLC · Palmetto Bay, FL
Active · expires Jan 19, 2028
CLIA Number10D2337214
Laboratory TypeIndependent
Certificate Effective DateJanuary 20, 2026
Certificate Expiration DateJanuary 19, 2028
Laboratory DirectorUzma Farooq
Laboratory Phone(786) 250-3419
Laboratory LocationRevive Genetics LLC9000 SW 152th Street Suite 107, Palmetto Bay, FL 33157
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Genetics LLC's NPI number?

The NPI number for Revive Genetics LLC is 1083568703. It was assigned to this organization in the NPPES registry on February 21, 2026.

Where is Revive Genetics LLC located?

Revive Genetics LLC is located at 9000 SW 152nd St Ste 107, Palmetto Bay, FL 33157. The listed phone number is (786) 250-3419.

What is Revive Genetics LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Revive Genetics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2337214) is associated with this NPI, valid through January 19, 2028. 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 Genetics LLC was last updated on February 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.