FOREVER YOUNG DIAGNOSTICS
NPI 1366194649
Clinic/Center - Health Service in Brandon, FL

Active since January 19, 2022CLIA 10D2254916 · Waiver
110 LITHIA PINECREST RD STE H, BRANDON, FL 33511(813) 857-8556 Get Directions Write a Review

NPPES record last updated: February 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 18, 2022, Jan 19, 2022 (2 updates tracked since 2022).

About Forever Young Diagnostics NPPES

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

FOREVER YOUNG DIAGNOSTICS (NPI 1366194649) is a healthcare organization registered as a health service in Brandon, Florida and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through March 8, 2028 and lists Zaranda Young, Admin, as its authorized official.

NPPES Registry Identity

NPI1366194649
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameFOREVER YOUNG DIAGNOSTICS
Location Address110 LITHIA PINECREST RD STE HBrandon, FL 33511-5300
Mailing Address3848 Sun City Center Blvd # 104-49Sun City Center, FL 33573-6843 · (813) 857-8556
Organization SubpartNo
Authorized OfficialZaranda YoungAdmin · (813) 857-8556
Enumeration DateJanuary 19, 2022
Last NPPES UpdateFebruary 18, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2022
NPI 1366194649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
110 LITHIA PINECREST RD STE H, Brandon, FL 33511

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 10D2254916

Forever Young Diagnostics · Brandon, FL
Active · expires Mar 8, 2028
CLIA Number10D2254916
Laboratory TypeDiagnostic Lab Service
Certificate Effective DateMarch 9, 2026
Certificate Expiration DateMarch 8, 2028
Laboratory DirectorNicole Q. Williams
Laboratory Phone(813) 857-8556
Laboratory LocationForever Young Diagnostics110 Lithia Pinecrest Rd - Ste C, Brandon, FL 33511
CLIA data matches this NPI record on: Name Phone
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.

Nurse Practitioner (Adult Health)
110 LITHIA PINECREST RD STE H
BRANDON, FL 33511
Home Health
110 LITHIA PINECREST RD STE H
BRANDON, FL 33511
Clinic/Center (Medical Specialty)
110 LITHIA PINECREST RD STE H
BRANDON, FL 33511

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 Forever Young Diagnostics's NPI number?

The NPI number for Forever Young Diagnostics is 1366194649. It was assigned to this organization in the NPPES registry on January 19, 2022.

Where is Forever Young Diagnostics located?

Forever Young Diagnostics is located at 110 Lithia Pinecrest Rd Ste H, Brandon, FL 33511. The listed phone number is (813) 857-8556.

What is Forever Young Diagnostics's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Forever Young Diagnostics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2254916) is associated with this NPI, valid through March 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Forever Young Diagnostics was last updated on February 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.