MOBILE PHLEBOTOMY EXCELLENCE
NPI 1356120836
Clinical Medical Laboratory in Avon Park, FL

Active since September 25, 2023CLIA 10D2290986 · Waiver
109 E VIOLA ST, AVON PARK, FL 33825(888) 919-2509(863) 900-9720 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mobile Phlebotomy Excellence NPPES

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

MOBILE PHLEBOTOMY EXCELLENCE (NPI 1356120836) is a healthcare organization registered as a clinical medical laboratory in Avon Park, Florida and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through October 3, 2027 and lists Tiffany Lashae Brown, Ascp-pbt, as its authorized official.

NPPES Registry Identity

NPI1356120836
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameMOBILE PHLEBOTOMY EXCELLENCE
Location Address109 E VIOLA STAvon Park, FL 33825-2249
Mailing AddressPo Box 7090Avon Park, FL 33826-7090 · (888) 919-2509 · Fax (863) 900-9720
Fax(863) 900-9720
Organization SubpartNo
Authorized OfficialTiffany Lashae BrownAscp-pbt · (863) 275-4405
Enumeration DateSeptember 25, 2023
NPPES CertifiedSeptember 25, 2023
NPI 1356120836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

109 E VIOLA ST, Avon Park, FL 33825

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 10D2290986

Mobile Phlebotomy Excellence, LLC · Avon Park, FL
Active · expires Oct 3, 2027
CLIA Number10D2290986
Laboratory TypeMobile Laboratory
Certificate Effective DateOctober 4, 2025
Certificate Expiration DateOctober 3, 2027
Laboratory DirectorTiffany Brown
Laboratory Phone(888) 919-2509
Laboratory LocationMobile Phlebotomy Excellence, LLC109 E Viola St, Avon Park, FL 33825
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 2

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

Homemaker
109 E VIOLA ST
AVON PARK, FL 33825
Technician, Pathology (Phlebotomy)
109 E VIOLA ST
AVON PARK, FL 33825

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356120836, enumerated as an "organization" on September 25, 2023.

The provider is located at 109 E VIOLA ST AVON PARK, FL 33825 and the phone number is (888) 919-2509.

Clinical Medical Laboratory with taxonomy code 291U00000X.