REVORA HEALTH LLC
NPI 1750238804
Clinical Medical Laboratory in Atlanta, GA

Active since March 16, 2026CLIA 11D2343198 · Waiver
5555 GLENRIDGE CONNECTOR STE 200, OFFICE 17TH, ATLANTA, GA 30342(470) 357-3971 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 12, 2026, Mar 16, 2026 (2 updates tracked since 2026).

About Revora Health Llc NPPES

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

REVORA HEALTH LLC (NPI 1750238804) is a healthcare organization registered as a clinical medical laboratory in Atlanta, Georgia and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through May 3, 2028 and lists Hassan Javaid, Owner, as its authorized official.

NPPES Registry Identity

NPI1750238804
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameREVORA HEALTH LLC
Location Address5555 GLENRIDGE CONNECTOR STE 200, OFFICE 17THAtlanta, GA 30342-4815
Mailing Address5555 Glenridge Connector Ste 200Atlanta, GA 30342-4815
Organization SubpartNo
Authorized OfficialHassan JavaidOwner · (470) 357-3971
Enumeration DateMarch 16, 2026
Last NPPES UpdateJune 8, 20262 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
NPI 1750238804 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.

5555 GLENRIDGE CONNECTOR STE 200, Atlanta, GA 30342

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 11D2343198

Revora Health LLC · Atlanta, GA
Active · expires May 3, 2028
CLIA Number11D2343198
Laboratory TypeIndependent
Certificate Effective DateMay 4, 2026
Certificate Expiration DateMay 3, 2028
Laboratory DirectorHassan Javid
Laboratory Phone(470) 357-3971
Laboratory LocationRevora Health LLC5555 Glenridge Connector, Suite 200, Office 17th, Atlanta, GA 30352
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
5555 GLENRIDGE CONNECTOR STE 200
ATLANTA, GA 30342
Counselor (Professional)
5555 GLENRIDGE CONNECTOR STE 200
SANDY SPRINGS, GA 30342
Home Health
5555 GLENRIDGE CONNECTOR STE 200
ATLANTA, GA 30342
Psychiatry & Neurology (Psychiatry)
5555 GLENRIDGE CONNECTOR STE 200
ATLANTA, GA 30342
Psychiatry & Neurology (Psychiatry)
5555 GLENRIDGE CONNECTOR STE 200
ATLANTA, GA 30342
Obstetrics & Gynecology (Gynecology)
5555 GLENRIDGE CONNECTOR STE 200
ATLANTA, GA 30342
Dietitian, Registered
5555 GLENRIDGE CONNECTOR STE 200
ATLANTA, GA 30342
Counselor (Professional)
5555 GLENRIDGE CONNECTOR STE 200
ATLANTA, GA 30342

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 Revora Health LLC's NPI number?

The NPI number for Revora Health LLC is 1750238804. It was assigned to this organization in the NPPES registry on March 16, 2026.

Where is Revora Health LLC located?

Revora Health LLC is located at 5555 Glenridge Connector Ste 200 Office 17th, Atlanta, GA 30342. The listed phone number is (470) 357-3971.

What is Revora Health LLC's specialty?

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

Does Revora Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2343198) is associated with this NPI, valid through May 3, 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 Revora Health LLC was last updated on June 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.