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WILLISTON RURAL HEALTH AND WELLNESS CLINIC LLC
NPI 1538435375
Clinic/Center - Rural Health in Williston, FL

Active since March 27, 2012CLIA 10D2070821 · Waiver
300 NW 1ST AVE, WILLISTON, FL 32696(352) 529-0966(352) 529-0967 Get Directions Write a Review

NPPES record last updated: October 10, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Williston Rural Health And Wellness Clinic Llc NPPES

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

WILLISTON RURAL HEALTH AND WELLNESS CLINIC LLC (NPI 1538435375) is a healthcare organization registered as a rural health in Williston, Florida and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through December 25, 2027 and lists Sidney Ernest Clevinger, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1538435375
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameWILLISTON RURAL HEALTH AND WELLNESS CLINIC LLC
Location Address300 NW 1ST AVEWilliston, FL 32696-2006
Mailing Address300 Nw 1st AveWilliston, FL 32696-2006 · (352) 529-0966 · Fax (352) 529-0967
Phone(352) 529-0966
Fax(352) 529-0967
Organization SubpartNo
Authorized OfficialSidney Ernest ClevingerMedical Director · (352) 266-7075
Enumeration DateMarch 27, 2012
Last NPPES UpdateOctober 10, 2013
✔ NPI 1538435375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
300 NW 1ST AVE, Williston, FL 32696
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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 10D2070821

Williston Rural Health And Wellness Center · Williston, FL
Active · expires Dec 25, 2027
CLIA Number10D2070821
Laboratory TypeRural Health Clinic
Certificate Effective DateDecember 26, 2025
Certificate Expiration DateDecember 25, 2027
Laboratory DirectorDr. Sidney Clevinger
Laboratory Phone(352) 529-0966
Laboratory LocationWilliston Rural Health And Wellness Center300 A NW 1st Ave, Williston, FL 32696
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

WILLISTON REHABILITATION AND NURSING CENTER LLC
Skilled Nursing Facility
300 NW 1ST AVE
WILLISTON, FL 32696
Levy County (352) 528-3561
PATRICIA ANN PERKINS PT
Physical Therapist
300 NW 1ST AVE
WILLISTON, FL 32696
Levy County (352) 528-3561
WILLISTON FACILITY INC
Skilled Nursing Facility
300 NW 1ST AVE
WILLISTON, FL 32696
Levy County (352) 528-3561
AYANNA M MARCELLE APRN
Nurse Practitioner (Acute Care)
300 NW 1ST AVE
WILLISTON, FL 32696
Levy County (872) 231-3162
FLORIDA REHAB SPECIALISTS, PLLC
Family Medicine (Adult Medicine)
300 NW 1ST AVE
WILLISTON, FL 32696
Levy County (352) 234-3050
WILLISTON NURSING AND REHAB LLC
Skilled Nursing Facility
300 NW 1ST AVE
WILLISTON, FL 32696
Levy County (352) 528-3561
WILLISTON HEALTH CARE CENTER, LLC
Skilled Nursing Facility
300 NW 1ST AVE
WILLISTON, FL 32696
Levy County (352) 528-3561
CNS HOLDING COMPANY LLC
Clinic/Center (Rural Health)
300 NW 1ST AVE
WILLISTON, FL 32696
Levy County (352) 529-0966

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 Williston Rural Health And Wellness Clinic LLC's NPI number?

The NPI number for Williston Rural Health And Wellness Clinic LLC is 1538435375. It was assigned to this organization in the NPPES registry on March 27, 2012.

Where is Williston Rural Health And Wellness Clinic LLC located?

Williston Rural Health And Wellness Clinic LLC is located at 300 NW 1st Ave, Williston, FL 32696. The listed phone number is (352) 529-0966.

What is Williston Rural Health And Wellness Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Williston Rural Health And Wellness Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2070821) is associated with this NPI, valid through December 25, 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 Williston Rural Health And Wellness Clinic LLC was last updated on October 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.