COMMUNITY LIFE SUPPORT,INC
NPI 1093521908
Clinic/Center in Opa Locka, FL

Q: What is Community Life Support,inc's NPI number?

The NPI number for Community Life Support,inc is 1093521908. It was assigned to this organization in the NPPES registry on December 5, 2024.

Q: What is Community Life Support,inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since December 05, 2024CLIA 10D2342002 · Waiver

486 FISHERMAN ST, OPA LOCKA, FL 33054(305) 688-5456(305) 688-1661 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Community Life Support,inc NPPES

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

COMMUNITY LIFE SUPPORT,INC (NPI 1093521908) is a healthcare organization registered as a clinic/center in Opa Locka, Florida and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through April 11, 2028 and lists Yadira I Munoz, Manager, as its authorized official.

NPPES Registry Identity

NPI1093521908

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameCOMMUNITY LIFE SUPPORT,INC

Location Address486 FISHERMAN STOpa Locka, FL 33054-3818

Mailing Address486 Fisherman StOpa Locka, FL 33054-3818 · (305) 688-5456 · Fax (305) 688-1661

Phone(305) 688-5456

Fax(305) 688-1661

Organization SubpartNo

Authorized OfficialYadira I MunozManager · (305) 505-7518

Enumeration DateDecember 5, 2024

NPPES CertifiedDecember 5, 2024

✔ NPI 1093521908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

486 FISHERMAN ST, Opa Locka, FL 33054

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Other Names 1

Former Legal Business NameCommunity Life Support,inc

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 10D2342002

Community Life Support, Inc · Opa Locka, FL

Active · expires Apr 11, 2028

CLIA Number10D2342002

Laboratory TypePhysician Office

Certificate Effective DateApril 12, 2026

Certificate Expiration DateApril 11, 2028

Laboratory DirectorPierre R. Blemur

Laboratory Phone(305) 688-5456

Laboratory LocationCommunity Life Support, Inc486 Fisherman Street, Side B, Opa Locka, FL 33054

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 5

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

YANA NICOLE BLAISE RN, FNP

Nurse Practitioner (Family)