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REVIVE IV SOLUTIONS LLC
NPI 1770411589
Clinic/Center - Infusion Therapy in Santee, SC

Active since May 12, 2026CLIA 42D2343514 · Certificate of Compliance
150 PLAZA CIR, SANTEE, SC 29142(803) 860-3588(803) 973-6214 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 18, 2026, May 12, 2026 (2 updates tracked since 2026).

About Revive Iv Solutions Llc NPPES

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

REVIVE IV SOLUTIONS LLC (NPI 1770411589) is a healthcare organization registered as an infusion therapy in Santee, South Carolina and active in the NPI registry since May 2026. The organization holds a CLIA Certificate of Compliance certificate valid through May 6, 2028 and lists Morgan Moorer, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1770411589
Entity TypeOrganization
Primary Taxonomy261QI0500X
Legal Business NameREVIVE IV SOLUTIONS LLC
Location Address150 PLAZA CIRSantee, SC 29142-9630
Mailing Address227 Landmark RdCameron, SC 29030-8385 · (803) 860-3588 · Fax (803) 973-6214
Phone(803) 860-3588
Fax(803) 973-6214
Organization SubpartNo
Authorized OfficialMorgan MoorerManaging Member · (803) 860-3588
Enumeration DateMay 12, 2026
Last NPPES UpdateMay 18, 20262 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1770411589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Infusion TherapyAmbulatory Health Care Facilities
Taxonomy Code261QI0500X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
150 PLAZA CIR, Santee, SC 29142
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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 Compliance 42D2343514

Revive IV Solutions, LLC · Santee, SC
Active · expires May 6, 2028
CLIA Number42D2343514
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 7, 2026
Certificate Expiration DateMay 6, 2028
Laboratory DirectorMatthew Wallen
Laboratory Phone(803) 860-3588
Laboratory LocationRevive IV Solutions, LLC150 Plaza Circle, Santee, SC 29142
CLIA data matches this NPI record on: Address 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.

Other Providers at the Same Location NPPES 2

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

MORGAN MOORER RN
Registered Nurse
150 PLAZA CIR
SANTEE, SC 29142
Orangeburg County (803) 860-3588
HARLIE ANNE CORCORAN EDDINS RN
Registered Nurse
150 PLAZA CIR
SANTEE, SC 29142
Orangeburg County (803) 860-3588

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 IV Solutions LLC's NPI number?

The NPI number for Revive IV Solutions LLC is 1770411589. It was assigned to this organization in the NPPES registry on May 12, 2026.

Where is Revive IV Solutions LLC located?

Revive IV Solutions LLC is located at 150 Plaza Cir, Santee, SC 29142. The listed phone number is (803) 860-3588.

What is Revive IV Solutions LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Infusion Therapy, with taxonomy code 261QI0500X.

Does Revive IV Solutions LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 42D2343514) is associated with this NPI, valid through May 6, 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 IV Solutions LLC was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.