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MY CHEM LAB LLC
NPI 1780457002
Technician, Pathology - Phlebotomy in Wildwood, FL

Active since October 31, 2023CLIA 10D2261234 · Waiver
602 JACKSON ST, WILDWOOD, FL 34785(352) 571-3148 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About My Chem Lab Llc NPPES

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

MY CHEM LAB LLC (NPI 1780457002) is a healthcare organization registered as a phlebotomy in Wildwood, Florida and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through May 26, 2028 and lists Tasha D Lasane, Owner, as its authorized official.

NPPES Registry Identity

NPI1780457002
Entity TypeOrganization
Primary Taxonomy246RP1900X
Legal Business NameMY CHEM LAB LLC
Location Address602 JACKSON STWildwood, FL 34785-3301
Mailing AddressPo Box 572Wildwood, FL 34785-0572 · (352) 571-3148
Phone(352) 571-3148
Organization SubpartNo
Authorized OfficialTasha D LasaneOwner · (352) 571-3148
Enumeration DateOctober 31, 2023
NPPES CertifiedOctober 31, 2023
✔ NPI 1780457002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, Pathology · PhlebotomyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246RP1900X
602 JACKSON ST, Wildwood, FL 34785
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 10D2261234

My Chem Lab LLC · Wildwood, FL
Active · expires May 26, 2028
CLIA Number10D2261234
Laboratory TypeMobile Laboratory
Certificate Effective DateMay 27, 2026
Certificate Expiration DateMay 26, 2028
Laboratory DirectorTamicha Anderson Gooden
Laboratory Phone(866) 359-5527
Laboratory LocationMy Chem Lab LLC602 Jackson St, Wildwood, FL 34785
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 My Chem Lab LLC's NPI number?

The NPI number for My Chem Lab LLC is 1780457002. It was assigned to this organization in the NPPES registry on October 31, 2023.

Where is My Chem Lab LLC located?

My Chem Lab LLC is located at 602 Jackson St, Wildwood, FL 34785. The listed phone number is (352) 571-3148.

What is My Chem Lab LLC's specialty?

The primary specialty registered for this NPI is Technician, Pathology, specializing in Phlebotomy, with taxonomy code 246RP1900X.

Does My Chem Lab LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2261234) is associated with this NPI, valid through May 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for My Chem Lab LLC was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.