10D1079616 CLIA NUMBER - I PATHOLOGY LLC

Laboratory Demographics

  • CLIA Code: 10D1079616
  • Facility Name: I PATHOLOGY LLC
  • Facility Address: 6850 NEW TAMPA HIGHWAY SUITE 500
    LAKELAND, FL
    ZIP 33815
  • Facility Phone: 863 606-6655
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: CECILIA VIRGINIA OLIVERI
  • NPI Number: 1184896425
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D1079616
LAB Type Independent
Facility Name I PATHOLOGY LLC
Street 6850 NEW TAMPA HIGHWAY SUITE 500
City LAKELAND
State FL
ZIP 33815
Phone 863 606-6655
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 3/25/2024
Certificate Expiration Date 3/24/2026
Facility Type Independent
Lab Director CECILIA VIRGINIA OLIVERI

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