10D1035593 CLIA NUMBER - KORPATH

Laboratory Demographics

  • CLIA Code: 10D1035593
  • Facility Name: KORPATH
  • Facility Address: 3110 CHERRY PALM DR STE 340
    TAMPA, FL
    ZIP 33619
  • Facility Phone: 813 932-0374
  • Facility Type: Mobile Laboratory
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. PATRICIA N. MOODY
  • NPI Number: 1285707943
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D1035593
LAB Type Mobile Laboratory
Facility Name KORPATH
Street 3110 CHERRY PALM DR STE 340
City TAMPA
State FL
ZIP 33619
Phone 813 932-0374
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Mobile Laboratory
Lab Director DR. PATRICIA N. MOODY

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This page was last updated on: 9/29/2025