NEMOURS CHILDREN'S HEALTH, LAKE MARY, SPECIALTY CARE
NPI 1770151045
Clinic/Center - Multi-Specialty in Lake Mary, FL
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 10D2005184
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-22-2026
About NEMOURS CHILDREN'S HEALTH, LAKE MARY, SPECIALTY CARE
This page provides the complete NPI Profile along with additional information for Nemours Children's Health, Lake Mary, Specialty Care, a provider established in Lake Mary, Florida operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1770151045 assigned on June 2021. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Rodney Aaron Mckendree (Vp, Finance)
- NPI
- 1770151045 Verify this NPI
- Provider Name
- NEMOURS CHILDREN'S HEALTH, LAKE MARY, SPECIALTY CARE
- Entity Type
- Organization
- Location Address
- 3300 W LAKE MARY BLVD LAKE MARY, FL 32746
- Location Phone
- (407) 650-7715
- Mailing Address
- 10140 CENTURION PKWY N JACKSONVILLE, FL 32256
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-14-2021
- Last Update Date
- 06-14-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2005184
- Facility Type
- Physician Office
- Certificate Effective Date
- March 23, 2024
- Certificate Expiration Date
- March 22, 2026
- Laboratory Director
- DR. DENNIS DREHNER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Nemours Children's Health, Lake Mary, Specialty Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
LAKE MARY, FL 32746
LAKE MARY, FL 32746
LAKE MARY, FL 32746
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770151045, enumerated as an "organization" on June 14, 2021.
The provider is located at 3300 W LAKE MARY BLVD LAKE MARY, FL 32746 and the phone number is (407) 650-7715.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
