REVIVE CLINIC AND IV THERAPY LLC
NPI 1942079231
Public Health or Welfare in Manassas, VA

Active since December 27, 2023CLIA 49D2311687 · Waiver
7000 INFANTRY RIDGE RD STE 110A, MANASSAS, VA 20109(703) 828-8089 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revive Clinic And Iv Therapy Llc NPPES

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

REVIVE CLINIC AND IV THERAPY LLC (NPI 1942079231), doing business as Revive Clinic And Iv Therapy, is a healthcare organization registered as a public health or welfare in Manassas, Virginia and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through September 25, 2026 and lists Gurdev Singh, Dierctor, as its authorized official.

NPPES Registry Identity

NPI1942079231
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameREVIVE CLINIC AND IV THERAPY LLC
Location Address7000 INFANTRY RIDGE RD STE 110AManassas, VA 20109-2370
Mailing Address7000 Infantry Ridge Rd Ste 110aManassas, VA 20109-2370 · (703) 828-8089
Organization SubpartNo
Authorized OfficialGurdev SinghDierctor · (703) 585-4942
Enumeration DateDecember 27, 2023
NPPES CertifiedDecember 27, 2023
NPI 1942079231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
7000 INFANTRY RIDGE RD STE 110A, Manassas, VA 20109

Other Names 1

Doing Business AsRevive Clinic And Iv Therapy

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 49D2311687

Revive Clinic & IV Therapy · Manassas, VA
Active · expires Sep 25, 2026
CLIA Number49D2311687
Laboratory TypePhysician Office
Certificate Effective DateSeptember 26, 2024
Certificate Expiration DateSeptember 25, 2026
Laboratory DirectorKyana Anthony
Laboratory Phone(703) 828-8089
Laboratory LocationRevive Clinic & IV Therapy7000 Infantry Ridge Rd Suite 110, Manassas, VA 20109
CLIA data matches this NPI record on: Address Phone
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 Clinic And IV Therapy LLC's NPI number?

The NPI number for Revive Clinic And IV Therapy LLC is 1942079231. It was assigned to this organization in the NPPES registry on December 27, 2023. The provider is doing business as Revive Clinic and IV Therapy.

Where is Revive Clinic And IV Therapy LLC located?

Revive Clinic And IV Therapy LLC is located at 7000 Infantry Ridge Rd Ste 110A, Manassas, VA 20109. The listed phone number is (703) 828-8089.

What is Revive Clinic And IV Therapy LLC's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Does Revive Clinic And IV Therapy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2311687) is associated with this NPI, valid through September 25, 2026. 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 Clinic And IV Therapy LLC was last updated on December 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.