10D2064013 CLIA NUMBER - MEDIPATH LLC

Laboratory Demographics

  • CLIA Code: 10D2064013
  • Facility Name: MEDIPATH LLC
  • Facility Address: 4665 PONCE DE LEON BLVD
    CORAL GABLES, FL
    ZIP 33146
  • Facility Phone: 786 464-0749
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. PATRICIA I. DELGADO
  • NPI Number: 1407226350
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D2064013
LAB Type Physician Office
Facility Name MEDIPATH LLC
Street 4665 PONCE DE LEON BLVD
City CORAL GABLES
State FL
ZIP 33146
Phone 786 464-0749
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Physician Office
Lab Director DR. PATRICIA I. DELGADO

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