MEDICERT PRO LLC
NPI 1578439980
Clinical Medical Laboratory in Port Charlotte, FL

Active since October 13, 2025CLIA 10D2332154 · Waiver
17218 TOLEDO BLADE BLVD UNIT 10, PORT CHARLOTTE, FL 33954(941) 280-0844(941) 894-0416 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Medicert Pro Llc NPPES

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

MEDICERT PRO LLC (NPI 1578439980) is a healthcare organization registered as a clinical medical laboratory in Port Charlotte, Florida and active in the NPI registry since October 2025. The organization holds a CLIA Waiver certificate valid through October 14, 2027 and lists Derlune Saintvil, Lab Director, as its authorized official.

NPPES Registry Identity

NPI1578439980
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameMEDICERT PRO LLC
Location Address17218 TOLEDO BLADE BLVD UNIT 10Port Charlotte, FL 33954-2615
Mailing Address17218 Toledo Blade Blvd Unit 10Port Charlotte, FL 33954-2615 · (941) 280-0844 · Fax (941) 894-0416
Fax(941) 894-0416
Organization SubpartNo
Authorized OfficialDerlune SaintvilLab Director · (941) 280-0844
Enumeration DateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
NPI 1578439980 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.
17218 TOLEDO BLADE BLVD UNIT 10, Port Charlotte, FL 33954

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 10D2332154

Medicert Pro LLC · Port Charlotte, FL
Active · expires Oct 14, 2027
CLIA Number10D2332154
Laboratory TypeMobile Laboratory
Certificate Effective DateOctober 15, 2025
Certificate Expiration DateOctober 14, 2027
Laboratory DirectorDerlune Saintvil
Laboratory Phone(941) 280-0844
Laboratory LocationMedicert Pro LLC17218 Toledo Blade, Suite 10, Port Charlotte, FL 33954
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.

Specialist/Technologist, Pathology
17218 TOLEDO BLADE BLVD UNIT 10
PORT CHARLOTTE, FL 33954

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 Medicert Pro LLC's NPI number?

The NPI number for Medicert Pro LLC is 1578439980. It was assigned to this organization in the NPPES registry on October 13, 2025.

Where is Medicert Pro LLC located?

Medicert Pro LLC is located at 17218 Toledo Blade Blvd Unit 10, Port Charlotte, FL 33954. The listed phone number is (941) 280-0844.

What is Medicert Pro LLC's specialty?

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

Does Medicert Pro LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2332154) is associated with this NPI, valid through October 14, 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 Medicert Pro LLC was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.