LOWELL F. CLARK MD PA
NPI 1144853078
Clinic/Center in Sorrento, FL

Active since February 19, 2020CLIA 10D2328708 · Waiver
31450 CHURCH ST, SORRENTO, FL 32776(352) 735-4044 Get Directions Write a Review

NPPES record last updated: February 24, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 24, 2020, Feb 19, 2020 (2 updates tracked since 2020).

About Lowell F. Clark Md Pa NPPES

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

LOWELL F. CLARK MD PA (NPI 1144853078) is a healthcare organization registered as a clinic/center in Sorrento, Florida and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through August 14, 2027 and lists Lowell F. Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1144853078
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLOWELL F. CLARK MD PA
Location Address31450 CHURCH STSorrento, FL 32776-9594
Mailing Address212 S Florida StBushnell, FL 33513-6703 · (352) 793-2441
Organization SubpartNo
Authorized OfficialLowell F. ClarkOwner · (352) 793-2441
Enumeration DateFebruary 19, 2020
Last NPPES UpdateFebruary 24, 20202 updates tracked since enumeration
NPI 1144853078 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).

31450 CHURCH ST, Sorrento, FL 32776

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 10D2328708

Lowell F Clark MD PA · Sorrento, FL
Active · expires Aug 14, 2027
CLIA Number10D2328708
Laboratory TypePhysician Office
Certificate Effective DateAugust 15, 2025
Certificate Expiration DateAugust 14, 2027
Laboratory DirectorLowell F. Clark
Laboratory Phone(352) 289-7023
Laboratory LocationLowell F Clark MD PA31450 Church St, Sorrento, FL 32776
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Family Medicine
31450 CHURCH ST
SORRENTO, FL 32776
Clinic/Center
31450 CHURCH ST
SORRENTO, FL 32776
Clinic/Center
31450 CHURCH ST
SORRENTO, FL 32776

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 Lowell F. Clark MD PA's NPI number?

The NPI number for Lowell F. Clark MD PA is 1144853078. It was assigned to this organization in the NPPES registry on February 19, 2020.

Where is Lowell F. Clark MD PA located?

Lowell F. Clark MD PA is located at 31450 Church St, Sorrento, FL 32776. The listed phone number is (352) 735-4044.

What is Lowell F. Clark MD PA's specialty?

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

Does Lowell F. Clark MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2328708) is associated with this NPI, valid through August 14, 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 Lowell F. Clark MD PA was last updated on February 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.