ISLAND DNA & TESTING CENTER LLC
NPI 1366296972
Technician, Pathology - Phlebotomy in Fayetteville, NC

Active since April 11, 2024CLIA 34D2303128 · Waiver
2620 BRAGG BLVD STE N, FAYETTEVILLE, NC 28303(910) 861-0853 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2024, Apr 11, 2024 (2 updates tracked since 2024).

About Island Dna & Testing Center Llc NPPES

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

ISLAND DNA & TESTING CENTER LLC (NPI 1366296972) is a healthcare organization registered as a phlebotomy in Fayetteville, North Carolina and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through April 21, 2028 and lists Tiffany Thompson, Owner, Lab Director, as its authorized official.

NPPES Registry Identity

NPI1366296972
Entity TypeOrganization
Primary Taxonomy246RP1900X
Legal Business NameISLAND DNA & TESTING CENTER LLC
Location Address2620 BRAGG BLVD STE NFayetteville, NC 28303-4168
Mailing Address2620 Bragg Blvd Ste NFayetteville, NC 28303-4168 · (910) 861-0853
Organization SubpartNo
Authorized OfficialTiffany ThompsonOwner, Lab Director · (910) 861-0853
Enumeration DateApril 11, 2024
Last NPPES UpdateApril 15, 20242 updates tracked since enumeration
NPPES CertifiedApril 15, 2024
NPI 1366296972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician, Pathology · PhlebotomyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246RP1900X
2620 BRAGG BLVD STE N, Fayetteville, NC 28303

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

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 34D2303128

Island Dna & Testing Center LLC · Fayetteville, NC
Active · expires Apr 21, 2028
CLIA Number34D2303128
Laboratory TypeTemporary Sites
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorTiffany T. Thompson
Laboratory Phone(910) 861-0853
Laboratory LocationIsland Dna & Testing Center LLC2620 Brag Blvd Suite N, Fayetteville, NC 28303
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

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

Technician, Pathology (Phlebotomy)
2620 BRAGG BLVD STE N
FAYETTEVILLE, NC 28303

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 Island Dna & Testing Center LLC's NPI number?

The NPI number for Island Dna & Testing Center LLC is 1366296972. It was assigned to this organization in the NPPES registry on April 11, 2024.

Where is Island Dna & Testing Center LLC located?

Island Dna & Testing Center LLC is located at 2620 Bragg Blvd Ste N, Fayetteville, NC 28303. The listed phone number is (910) 861-0853.

What is Island Dna & Testing Center LLC's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Phlebotomy, with taxonomy code 246RP1900X.

Does Island Dna & Testing Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2303128) is associated with this NPI, valid through April 21, 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 Island Dna & Testing Center LLC was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.