SUNRISE CLINICAL LABORATORY
NPI 1447244959
Clinical Medical Laboratory in Port Charlotte, FL

Active since September 12, 2005CLIA 10D1025536 · Certificate of Compliance
21216 OLEAN BLVD, 3, PORT CHARLOTTE, FL 33952(941) 624-3005(941) 624-6405 Get Directions Write a Review

NPPES record last updated: October 22, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sunrise Clinical Laboratory NPPES

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

SUNRISE CLINICAL LABORATORY (NPI 1447244959) is a healthcare organization registered as a clinical medical laboratory in Port Charlotte, Florida and active in the NPI registry since September 2005. The organization holds a CLIA Certificate of Compliance certificate valid through November 19, 2027 and lists Miftah Kemal, Owner, as its authorized official.

NPPES Registry Identity

NPI1447244959
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameSUNRISE CLINICAL LABORATORY
Location Address21216 OLEAN BLVD, 3Port Charlotte, FL 33952-6722
Mailing Address21216 Olean Blvd, 3Port Charlotte, FL 33952-6722 · (941) 624-3005 · Fax (941) 624-6405
Fax(941) 624-6405
Organization SubpartNo
Authorized OfficialMiftah KemalOwner · (941) 624-3005
Enumeration DateSeptember 12, 2005
Last NPPES UpdateOctober 22, 2007
NPI 1447244959 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.
21216 OLEAN BLVD, Port Charlotte, FL 33952

Other Identifiers 4

OtherL9263FL · Bcbs
Medicare UPINY18922FL
Medicare ID-Type UnspecifiedP00130533FL · Railroad Medicare
Medicare ID-Type UnspecifiedL9263FL

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 Compliance 10D1025536

Sunrise Clinical Laboratory Inc · Port Charlotte, FL
Active · expires Nov 19, 2027
CLIA Number10D1025536
Laboratory TypeIndependent
Certificate Effective DateNovember 20, 2025
Certificate Expiration DateNovember 19, 2027
Laboratory DirectorDr. Jose A. Ross
Laboratory Phone(941) 624-3005
Laboratory LocationSunrise Clinical Laboratory Inc21216 Olean Blvd Ste #3, Port Charlotte, FL 33952
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 8

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

Psychiatry & Neurology (Neurology)
21216 OLEAN BLVD, SUITE #2
PORT CHARLOTTE, FL 33952
Internal Medicine (Endocrinology, Diabetes & Metabolism)
21216 OLEAN BLVD, SUITE 6
PORT CHARLOTTE, FL 33952
Non-Pharmacy Dispensing Site
21216 OLEAN BLVD, SUITE 8
PORT CHARLOTTE, FL 33952
Internal Medicine
21216 OLEAN BLVD, STE 8
PORT CHARLOTTE, FL 33952
Specialist
21216 OLEAN BLVD, SUITE 6
PORT CHARLOTTE, FL 33952
Clinical Medical Laboratory
21216 OLEAN BLVD, STE 3
PORT CHARLOTTE, FL 33952
Audiologist
21216 OLEAN BLVD, SUITE 4
PORT CHARLOTTE, FL 33952
Neuromusculoskeletal Medicine & OMM
21216 OLEAN BLVD, SUITE 2
PORT CHARLOTTE, FL 33952

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 Sunrise Clinical Laboratory's NPI number?

The NPI number for Sunrise Clinical Laboratory is 1447244959. It was assigned to this organization in the NPPES registry on September 12, 2005.

Where is Sunrise Clinical Laboratory located?

Sunrise Clinical Laboratory is located at 21216 Olean Blvd 3, Port Charlotte, FL 33952. The listed phone number is (941) 624-3005.

What is Sunrise Clinical Laboratory's specialty?

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

Does Sunrise Clinical Laboratory hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D1025536) is associated with this NPI, valid through November 19, 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 Sunrise Clinical Laboratory was last updated on October 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.