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VAXONSITE, LLC
NPI 1982152054
Clinic/Center - Multi-Specialty in Odessa, FL

Active since September 16, 2016CLIA 10D2193124 · Waiver
1434 JAM LN, ODESSA, FL 33556(727) 489-4358(813) 342-7934 Get Directions Write a Review

NPPES record last updated: September 16, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vaxonsite, Llc NPPES

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

VAXONSITE, LLC (NPI 1982152054) is a healthcare organization registered as a multi-specialty in Odessa, Florida and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through September 16, 2026 and lists Sean P Curtin, President/cfo, as its authorized official.

NPPES Registry Identity

NPI1982152054
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameVAXONSITE, LLC
Location Address1434 JAM LNOdessa, FL 33556-3704
Mailing AddressPo Box 1166Odessa, FL 33556-1051 · (727) 489-4358 · Fax (813) 342-7934
Phone(727) 489-4358
Fax(813) 342-7934
Organization SubpartNo
Authorized OfficialSean P CurtinPresident/cfo · (727) 489-4358
Enumeration DateSeptember 16, 2016
✔ NPI 1982152054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in FL · HCC10745
1434 JAM LN, Odessa, FL 33556
Open in Google Maps ↗

Other Identifiers 1

OtherHCC10745FL · Ahca - Health Care Clinic License # Hcc10745

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 10D2193124

Vaxonsite LLC · Odessa, FL
Active · expires Sep 16, 2026
CLIA Number10D2193124
Laboratory TypeOn-Site Clinics
Certificate Effective DateSeptember 17, 2024
Certificate Expiration DateSeptember 16, 2026
Laboratory DirectorCasey O Donnell
Laboratory Phone(888) 385-4555
Laboratory LocationVaxonsite LLC1434 Jam Lane, Odessa, FL 33556
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 Vaxonsite, LLC's NPI number?

The NPI number for Vaxonsite, LLC is 1982152054. It was assigned to this organization in the NPPES registry on September 16, 2016.

Where is Vaxonsite, LLC located?

Vaxonsite, LLC is located at 1434 Jam Ln, Odessa, FL 33556. The listed phone number is (727) 489-4358.

What is Vaxonsite, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Vaxonsite, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2193124) is associated with this NPI, valid through September 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vaxonsite, LLC was last updated on September 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.