10D2076865 CLIA NUMBER - RONALD ROTH MD PA

Laboratory Demographics

  • CLIA Code: 10D2076865
  • Facility Name: RONALD ROTH MD PA
  • Facility Address: 1824 SALK AVE
    TAVARES, FL
    ZIP 32778
  • Facility Phone: 352 253-0244
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: CHRIS KECHRIOTIS
  • NPI Number: 1013105253
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2076865
LAB Type Physician Office
Facility Name RONALD ROTH MD PA
Street 1824 SALK AVE
City TAVARES
State FL
ZIP 32778
Phone 352 253-0244
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 6/13/2024
Certificate Expiration Date 6/12/2026
Facility Type Physician Office
Lab Director CHRIS KECHRIOTIS

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