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LAKELAND REGIONAL HEALTH SYSTEM, INC
NPI 1215609011
Clinic/Center - Multi-Specialty in Lake Wales, FL

Active since September 30, 2021CLIA 10D1043470 · Waiver
23749 US HIGHWAY 27, LAKE WALES, FL 33859(863) 676-0014(863) 687-1494 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 5, 2024, Jan 11, 2023, Sep 30, 2021 (3 updates tracked since 2021).

About Lakeland Regional Health System, Inc NPPES

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

LAKELAND REGIONAL HEALTH SYSTEM, INC (NPI 1215609011) is a healthcare organization registered as a multi-specialty in Lake Wales, Florida and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through July 25, 2027 and lists Lance Green, Evp/cfo, as its authorized official.

NPPES Registry Identity

NPI1215609011
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameLAKELAND REGIONAL HEALTH SYSTEM, INC
Location Address23749 US HIGHWAY 27Lake Wales, FL 33859-7802
Mailing AddressAttn Managed Care Department, 1324 Lakeland Hills BlvdLakeland, FL 33805 · (863) 687-1100 · Fax (863) 284-6825
Phone(863) 676-0014
Fax(863) 687-1494
Organization SubpartNo
Authorized OfficialLance GreenEvp/cfo · (863) 687-1100
Enumeration DateSeptember 30, 2021
Last NPPES UpdateJune 9, 20263 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
✔ NPI 1215609011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X
Also ListedGeneral PracticeTaxonomy 208D00000X
23749 US HIGHWAY 27, Lake Wales, FL 33859
Open in Google Maps ↗

Other Identifiers 1

Medicaid263421021FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 10D1043470

Lakeland Regional Health · Lake Wales, FL
Active · expires Jul 25, 2027
CLIA Number10D1043470
Laboratory TypePhysician Office
Certificate Effective DateJuly 26, 2025
Certificate Expiration DateJuly 25, 2027
Laboratory DirectorBrian J. Yoder
Laboratory Phone(863) 687-1436
Laboratory LocationLakeland Regional Health23749 Us Hwy 27, Lake Wales, FL 33859
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Lakeland Regional Health System, Inc's NPI number?

The NPI number for Lakeland Regional Health System, Inc is 1215609011. It was assigned to this organization in the NPPES registry on September 30, 2021.

Where is Lakeland Regional Health System, Inc located?

Lakeland Regional Health System, Inc is located at 23749 Us Highway 27, Lake Wales, FL 33859. The listed phone number is (863) 676-0014.

What is Lakeland Regional Health System, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Lakeland Regional Health System, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1043470) is associated with this NPI, valid through July 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lakeland Regional Health System, Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Lakeland Regional Health System, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lakeland Regional Health System, Inc was last updated on June 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.