CLARK CLINIC INC
NPI 1013540947
Clinic/Center - Rural Health in San Antonio, FL

Active since February 19, 2020CLIA 10D2222578 · Waiver
12620 CURLEY ST, SAN ANTONIO, FL 33576(352) 787-1600 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clark Clinic Inc NPPES

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

CLARK CLINIC INC (NPI 1013540947) is a healthcare organization registered as a rural health in San Antonio, Florida and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through April 28, 2027 and lists Lowell F. Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1013540947
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCLARK CLINIC INC
Location Address12620 CURLEY STSan Antonio, FL 33576-8136
Mailing Address212 S Florida StBushnell, FL 33513-6703 · (352) 793-2441
Organization SubpartNo
Authorized OfficialLowell F. ClarkOwner · (352) 793-2441
Enumeration DateFebruary 19, 2020
NPI 1013540947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
12620 CURLEY ST, San Antonio, FL 33576

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 10D2222578

Clark Clinic Inc · San Antonio, FL
Active · expires Apr 28, 2027
CLIA Number10D2222578
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2025
Certificate Expiration DateApril 28, 2027
Laboratory DirectorLowell F. Clark
Laboratory Phone(352) 793-2441
Laboratory LocationClark Clinic Inc12620 Curley Street, San Antonio, FL 33576
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

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

Clinic/Center
12620 CURLEY ST
SAN ANTONIO, FL 33576

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 Clark Clinic Inc's NPI number?

The NPI number for Clark Clinic Inc is 1013540947. It was assigned to this organization in the NPPES registry on February 19, 2020.

Where is Clark Clinic Inc located?

Clark Clinic Inc is located at 12620 Curley St, San Antonio, FL 33576. The listed phone number is (352) 787-1600.

What is Clark Clinic Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Clark Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2222578) is associated with this NPI, valid through April 28, 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 Clark Clinic Inc was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.