THE 21 CLUB OF CNY INC
NPI 1477410090
Clinical Medical Laboratory in Houston, TX

Active since January 06, 2026
12828 WILLOW CENTRE DR STE D, HOUSTON, TX 77066(713) 766-2796(712) 219-5827 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The 21 Club Of Cny Inc NPPES

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

THE 21 CLUB OF CNY INC (NPI 1477410090) is a healthcare organization registered as a clinical medical laboratory in Houston, Texas and active in the NPI registry since January 2026. The organization lists Carolyn Waldron, Owner, as its authorized official.

NPPES Registry Identity

NPI1477410090
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameTHE 21 CLUB OF CNY INC
Location Address12828 WILLOW CENTRE DR STE DHouston, TX 77066-3043
Mailing Address12828 Willow Centre Dr Ste DHouston, TX 77066-3043 · (713) 766-2796 · Fax (712) 219-5827
Fax(712) 219-5827
Organization SubpartNo
Authorized OfficialCarolyn WaldronOwner · (713) 766-2796
Enumeration DateJanuary 6, 2026
Last NPPES UpdateFebruary 13, 2026
NPPES CertifiedFebruary 13, 2026
NPI 1477410090 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.
12828 WILLOW CENTRE DR STE D, Houston, TX 77066

Other Providers at the Same Location NPPES 15

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

Counselor (Professional)
12828 WILLOW CENTRE DR STE D
HOUSTON, TX 77066
Clinical Medical Laboratory
12828 WILLOW CENTRE DR STE D
HOUSTON, TX 77066
Durable Medical Equipment & Medical Supplies
12828 WILLOW CENTRE DR STE D
HOUSTON, TX 77066
Psychiatry & Neurology (Neurology)
12828 WILLOW CENTRE DR STE D
HOUSTON, TX 77066
Clinical Medical Laboratory
12828 WILLOW CENTRE DR STE D
HOUSTON, TX 77066
Durable Medical Equipment & Medical Supplies
12828 WILLOW CENTRE DR STE D
HOUSTON, TX 77066
Durable Medical Equipment & Medical Supplies
12828 WILLOW CENTRE DR STE D
HOUSTON, TX 77066
Durable Medical Equipment & Medical Supplies
12828 WILLOW CENTRE DR STE D
HOUSTON, TX 77066

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 The 21 Club Of Cny Inc's NPI number?

The NPI number for The 21 Club Of Cny Inc is 1477410090. It was assigned to this organization in the NPPES registry on January 6, 2026.

Where is The 21 Club Of Cny Inc located?

The 21 Club Of Cny Inc is located at 12828 Willow Centre Dr Ste D, Houston, TX 77066. The listed phone number is (713) 766-2796.

What is The 21 Club Of Cny Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for The 21 Club Of Cny Inc was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.