IMPACT HEALTH LABS LLC
NPI 1407495104
Clinical Medical Laboratory in Georgetown, TX

Active since December 27, 2019CLIA 45D2176335 · Accreditation
7110 N INTERSTATE 35, GEORGETOWN, TX 78626(800) 653-0602 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2024, Sep 29, 2020, Dec 27, 2019 (3 updates tracked since 2019).

About Impact Health Labs Llc NPPES

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

IMPACT HEALTH LABS LLC (NPI 1407495104) is a healthcare organization registered as a clinical medical laboratory in Georgetown, Texas and active in the NPI registry since December 2019. The organization holds an CLIA Accreditation certificate valid through July 27, 2027 and lists Jason Thomas Dent, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1407495104
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameIMPACT HEALTH LABS LLC
Location Address7110 N INTERSTATE 35Georgetown, TX 78626-1763
Mailing Address7110 N Interstate 35Georgetown, TX 78626-1763
Organization SubpartNo
Authorized OfficialJason Thomas DentManaging Partner · (800) 653-0602
Enumeration DateDecember 27, 2019
Last NPPES UpdateApril 3, 20243 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
NPI 1407495104 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.
7110 N INTERSTATE 35, Georgetown, TX 78626

Other Identifiers 1

Medicaid4104895TX

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 Accreditation 45D2176335

Impact Health Labs LLC · Georgetown, TX
Active · expires Jul 27, 2027
CLIA Number45D2176335
Laboratory TypeIndependent
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorDr. Shane Sweeney
Laboratory Phone(512) 210-0812
Laboratory LocationImpact Health Labs LLC7110 N Interstate 35, Frontage Rd, Georgetown, TX 78626
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Areas of Expertise CMS Part B claims 64

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled P9603
This service covers travel costs for healthcare professionals to collect necessary lab specimens from patients who are homebound or in nursing homes. The allowance is calculated based on the actual miles traveled to perform this service.
225,841 services2,286 patients
Detection test by nucleic acid for organism, amplified probe technique 87798
A nucleic acid detection test is a procedure to identify specific organisms in your body. This test uses an amplified probe technique, which magnifies the genetic material of the organism, making it easier to detect. It's a precise way to diagnose infections.
8,055 services471 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
5,294 services2,293 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
3,653 services2,074 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
3,235 services1,947 patients
Detection test for candida species (yeast), amplified probe technique 87481
This test helps identify Candida, a type of fungus often present in the human body. An amplified probe technique is used, which enhances detection of the fungus in a sample. This method increases the accuracy of the test, helping to determine the best treatment.
3,045 services432 patients

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 Impact Health Labs LLC's NPI number?

The NPI number for Impact Health Labs LLC is 1407495104. It was assigned to this organization in the NPPES registry on December 27, 2019.

Where is Impact Health Labs LLC located?

Impact Health Labs LLC is located at 7110 N Interstate 35, Georgetown, TX 78626. The listed phone number is (800) 653-0602.

What is Impact Health Labs LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Impact Health Labs LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 45D2176335) is associated with this NPI, valid through July 27, 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 Impact Health Labs LLC was last updated on April 3, 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.