HEALTHSTAT ON-SITE CLINIC/POLK COUNTY
NPI 1134495245
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Haines City, FL
About Healthstat On-site Clinic/polk County NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEALTHSTAT ON-SITE CLINIC/POLK COUNTY (NPI 1134495245) is a healthcare organization registered as a preventive medicine/occupational environmental medicine in Haines City, Florida and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through September 20, 2027 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 42D1074056
- Facility Type
- Other
- Certificate Effective Date
- September 21, 2025
- Certificate Expiration Date
- September 20, 2027
- Laboratory Director
- SALLY POOLE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Healthstat On-site Clinic/polk County to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
HAINES CITY, FL 33844
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134495245, enumerated as an "organization" on March 23, 2012.
The provider is located at 631B US HIGHWAY 17 92 W HAINES CITY, FL 33844 and the phone number is (863) 519-3858.
Preventive Medicine with taxonomy code 2083P0500X and a focus in Preventive Medicine/Occupational Environmental Medicine.
The provider might be accepting Accepts: Florida Blue HMO (a BlueCross BlueShield FL. Please consult your insurance carrier or call the provider to verify.
