PREMIER HEALTH & WELLNESS CENTER OF CENTRAL FLORIDA LLC
NPI 1861165003
Clinical Medical Laboratory in Bartow, FL

Active since July 25, 2021CLIA 10D2229672 · Waiver
415 E MAIN ST STE 212, BARTOW, FL 33830(321) 297-2737(877) 797-7978 Get Directions Write a Review

NPPES record last updated: July 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premier Health & Wellness Center Of Central Florida Llc NPPES

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

PREMIER HEALTH & WELLNESS CENTER OF CENTRAL FLORIDA LLC (NPI 1861165003) is a healthcare organization registered as a clinical medical laboratory in Bartow, Florida and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through July 14, 2027 and lists Netrena Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1861165003
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NamePREMIER HEALTH & WELLNESS CENTER OF CENTRAL FLORIDA LLC
Location Address415 E MAIN ST STE 212Bartow, FL 33830-4703
Mailing AddressPo Box 705Clarcona, FL 32710-0705 · (321) 297-2737 · Fax (877) 797-7978
Fax(877) 797-7978
Organization SubpartNo
Authorized OfficialNetrena WilsonOwner · (321) 297-2737
Enumeration DateJuly 25, 2021
NPPES CertifiedJuly 25, 2021
NPI 1861165003 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.
415 E MAIN ST STE 212, Bartow, FL 33830

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 10D2229672

Premier Health & Wellness Center Of Central Florida, LLC · Bartow, FL
Active · expires Jul 14, 2027
CLIA Number10D2229672
Laboratory TypeMobile Laboratory
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorNetanya Jennings
Laboratory Phone(321) 297-2737
Laboratory LocationPremier Health & Wellness Center Of Central Florida, LLC415 E Main Street Suite 212, Bartow, FL 33830
CLIA data matches this NPI record on: Address Name Phone
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 Premier Health & Wellness Center Of Central Florida LLC's NPI number?

The NPI number for Premier Health & Wellness Center Of Central Florida LLC is 1861165003. It was assigned to this organization in the NPPES registry on July 25, 2021.

Where is Premier Health & Wellness Center Of Central Florida LLC located?

Premier Health & Wellness Center Of Central Florida LLC is located at 415 E Main St Ste 212, Bartow, FL 33830. The listed phone number is (321) 297-2737.

What is Premier Health & Wellness Center Of Central Florida LLC's specialty?

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

Does Premier Health & Wellness Center Of Central Florida LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2229672) is associated with this NPI, valid through July 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 Premier Health & Wellness Center Of Central Florida LLC was last updated on July 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.