The 21 Club of Cny Inc is a Clinical Medical Laboratory (organization) practicing in Houston, Texas. The National Provider Identifier (NPI) is #1477410090, which was assigned on January 6, 2026, and the registration record was last updated on February 13, 2026. The practitioner's main practice location is at 12828 Willow Centre Dr Ste D, Houston, TX 77066-3043; the contact telephone number is 7137662796, and the fax number is 7122195827. The primary taxonomy of The 21 Club of Cny Inc is Clinical Medical Laboratory (291U00000X). The authorized official for The 21 Club of Cny Inc is Carolyn Waldron (Owner).
(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.
| NPI | 1477410090 |
| Entity Type | Organization |
| Organization Name | THE 21 CLUB OF CNY INC |
| Provider Name | THE 21 CLUB OF CNY INC |
| Practice Address |
12828 Willow Centre Dr Ste D Houston TX 77066-3043 |
| Practice Telephone | 7137662796 |
| Practice Fax Number | 7122195827 |
| Mailing Address |
12828 Willow Centre Dr Ste D Houston TX 77066-3043 |
| Mailing Telephone | 7137662796 |
| Mailing Fax Number | 7122195827 |
| Certification Date | 2026-02-13 |
| Enumeration Date | 2026-01-06 |
| Last Update Date | 2026-02-13 |
| Is Organization Subpart | N |
| Official Name | CAROLYN WALDRON |
| Official Title | OWNER |
| Telephone | 7137662796 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory |
| Code | 291U00000X |
| Taxonomy | Clinical Medical Laboratory |
| Classification | Clinical Medical Laboratory |
| Grouping | Laboratories |
| 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. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| H-E-B, Lp | 20025 Eva St, Montgomery, TX 77356 | Clinical Medical Laboratory | 2026-06-03 |
| Jp Express Laboratory Incorporated | 935 S Mount Vernon Ave Ste 109, Colton, CA 92324-3963 | Clinical Medical Laboratory | 2026-06-05 |
| Labdashers,Llc | 14 Lake Sydney Dr, Dawsonville, GA 30534-7185 | Clinical Medical Laboratory | 2026-06-02 |
| Midwest Community Laboratories Inc | 9830 Ridgeland Ave Ste 115, Chicago Ridge, IL 60415-2667 | Clinical Medical Laboratory | 2026-06-03 |
| Neo America Laboratories LLC | 4101 Mcewen Rd Ste 608, Dallas, TX 75244-5398 | Clinical Medical Laboratory | 2026-06-02 |
| Advanced Laboratory Services, Inc. | 501 Elmwood Avenue, Sharon Hill, PA 19079 | Clinical Medical Laboratory | 2026-06-04 |
| Greater Baltimore Medical Center, Inc. | 6701 N Charles St, Baltimore, MD 21204-6808 | Clinical Medical Laboratory | 2026-06-04 |
| As Labs LLC | 3545 Youree Dr, Shreveport, LA 71105-2119 | Clinical Medical Laboratory | 2026-06-06 |
| Prime Cores Inc | 4245 Beech Daly Road, 202a, Dearborn Heights, MI 48125 | Clinical Medical Laboratory | 2026-06-05 |
| Aroxin Diagnostics LLC | 771 E Southlake Blvd Ste 204, Southlake, TX 76092-6576 | Clinical Medical Laboratory | 2026-06-02 |
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| Street Address |
12828 WILLOW CENTRE DR STE D |
| City | HOUSTON |
| State | TX |
| Zip Code | 77066-3043 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Medivo Health Care LLC | 12828 Willow Centre Dr Ste D, Houston, TX 77066-3043 | Durable Medical Equipment & Medical Supplies | 2026-05-07 |
| Elizabeth K Wills | 12828 Willow Centre Dr Ste D, Houston, TX 77066-3043 | Professional Counselor | 2015-11-20 |
| The 21 Club of Cny Inc | 12828 Willow Centre Dr Ste D, Houston, TX 77066-3043 | Clinical Medical Laboratory | 2026-01-06 |
| Lili Smith | 12828 Willow Centre Dr Ste D #216, Houston, TX 77066-3043 | Mental Health Counselor | 2024-05-27 |
| Jennifer Riley Mcleland | 12828 Willow Centre Dr Ste D, Houston, TX 77066-3043 | Obstetrics & Gynecology Physician | 2012-10-22 |
| Cancerland | 12828 Willow Centre Dr Ste D, Houston, TX 77066-3043 | Clinical Medical Laboratory | 2026-01-02 |
| The Childrens Charity of Greater Binghamton Inc | 12828 Willow Centre Dr Ste D, Houston, TX 77066-3043 | Clinical Medical Laboratory | 2026-01-12 |
| Olla Med Supplies LLC | 12828 Willow Centre Dr Ste D, Houston, TX 77066-3043 | Clinical Medical Laboratory | 2025-12-29 |
| Harper Tc LLC | 12828 Willow Centre Dr Ste D135, Houston, TX 77066-3043 | Community/Behavioral Health Agency | 2023-09-25 |
| Lab Runners | 12828 Willow Centre Dr Ste D, Houston, TX 77066-3043 | Clinical Medical Laboratory | 2024-11-13 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Medcare Clinics PLLC | 12828 Willow Ctr, Suite E, Houston, TX 77066-3043 | Child & Adolescent Psychiatry Physician | 2008-01-31 |
| Ifeoma N Arene | 12828 Willow Ctr, Suite E, Houston, TX 77066-3043 | Psychiatry Physician | 2006-05-02 |
| Reframe Healthcare Medical Group | 12828 Willow Centre Dr, Ste D #19, Houston, TX 77066-3043 | Obstetrics & Gynecology Physician | 2023-07-17 |
| Felicia Hawkins | 12828 Willow Centre Dr # D1006, Houston, TX 77066-3043 | Massage Therapist | 2025-07-25 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Compass Counseling Solutions,Inc | 7026 Belgold St, Houston, TX 77066-1002 | Professional Counselor | 2007-01-18 |
| Nancy Lu Williams | 7026 Belgold St, Houston, TX 77066-1002 | Counselor | 2009-06-25 |
| Champions Point Family Clinic LLC | 5367 W Richey Rd, Houston, TX 77066 | Primary Care Clinic/Center | 2018-04-17 |
| Luv-N-Joi At Home Care | 11423 Weathering Oaks Drive, Houston, TX 77066 | Home Health Agency | 2010-11-29 |
| Kim A. Abernethy | 7026 Belgold St, Houston, TX 77066-1002 | Professional Counselor | 2007-01-21 |
| Kim Ly Parker | 7026 Belgold St, Houston, TX 77066-1002 | Clinical Social Worker | 2006-08-19 |
| Jason W Wilson | 7026 Belgold St, Houston, TX 77066-1002 | Professional Counselor | 2010-05-13 |
| Sharon Ann Blue | 11516 Threadleaf Dr., Houston, TX 77066 | Mental Health Counselor | 2021-07-08 |
| Patricia Monette Williams | 12902 Haynes Rd, Suite B, Houston, TX 77066 | Professional Counselor | 2006-10-02 |
| E.L.P Holdings LLC | 5822 Pine Arbor Dr, Pool Hse, Houston, TX 77066 | Secured Medical Transport (VAN) | 2024-07-10 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Sam's Club Optical | 755 N. Hwy 27/441, Lady Lake (The Villages), FL 32159 | Optician | 2008-12-24 |
| Sam's Club Optical | 745 W El Camino Alto Drive, Springfield (S), MO 65810 | Eyewear Supplier | 2009-07-01 |
| La Gloria Social Club Inc | 13475 Sw 290th St, Homestead, FL 33033-5665 | Adult Day Care Clinic/Center | 2026-05-05 |
| The Kiddo's Club LLC | 815 W Fir Ave, Pirtleville, AZ 85626-0629 | Public Health or Welfare Agency | 2019-03-20 |
| Bj's Wholesale Club Inc. | 200 C Mill Rd, Oaks, PA 19456 | Eyewear Supplier | 2020-10-13 |
| Accent Senior Club #1, LLC | 6409 City West Pkwy Ste 100a, Eden Prairie, MN 55344-7845 | In Home Supportive Care Agency | 2026-03-20 |
| Canadochly Valley Ambulance Club | 45 S Main St, East Prospect, PA 17317 | Land Ambulance | 2005-09-16 |
| Bj's Wholesale Club Inc. | 300 Route 17 (Northbound), E. Rutherford, NJ 07073 | Eyewear Supplier | 2020-09-21 |
| Kids Club Therapies LLC | 5300 Nw 85th Ave Apt 407, Doral, FL 33166-5346 | Clinic/Center | 2026-04-28 |
| Club Rancho Manor Inc | 3618 Club Rancho Dr, Palmdale, CA 93551-5652 | Assisted Living Facility | 2026-03-27 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |