10D1018109 CLIA NUMBER - KENNETH A SAMPONG MD

Laboratory Demographics

  • CLIA Code: 10D1018109
  • Facility Name: KENNETH A SAMPONG MD
  • Facility Address: 709 PHYSICIAN CT
    LEESBURG, FL
    ZIP 34748
  • Facility Phone: (352) 728-5116
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH A. SAMPONG MD
  • NPI Number: 1073674404
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1018109
LAB Type Physician Office
Facility Name KENNETH A SAMPONG MD
Street 709 PHYSICIAN CT
City LEESBURG
State FL
ZIP 34748
Phone 3527285116
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2025
Certificate Expiration Date 10/13/2027
Facility Type Physician Office
Lab Director KENNETH A. SAMPONG MD

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This page was last updated on: 6/29/2026