10D2123842 CLIA NUMBER - MID - FLORIDA PATHOLOGY LLC

Laboratory Demographics

  • CLIA Code: 10D2123842
  • Facility Name: MID - FLORIDA PATHOLOGY LLC
  • Facility Address: 120 EAST NORTH BLVD STE 102
    LEESBURG, FL
    ZIP 34748
  • Facility Phone: 350 460-0292
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: MARTIN AUSTRIA
  • NPI Number: 1679949333
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D2123842
LAB Type Independent
Facility Name MID - FLORIDA PATHOLOGY LLC
Street 120 EAST NORTH BLVD STE 102
City LEESBURG
State FL
ZIP 34748
Phone 350 460-0292
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 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Independent
Lab Director MARTIN AUSTRIA

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