CLARK CLINIC INC
NPI 1013540947
Clinic/Center - Rural Health in San Antonio, FL
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
Specialties & Licenses
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, FLOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.