10D2151245 CLIA NUMBER - CITRUS PATH LLC

Laboratory Demographics

  • CLIA Code: 10D2151245
  • Facility Name: CITRUS PATH LLC
  • Facility Address: 4314 N SUNCOAST BLVD
    CRYSTAL RIVER, FL
    ZIP 34428
  • Facility Phone: 352 794-6385
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: KENNETH A. WALLACE
  • NPI Number: 1255915914
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D2151245
LAB Type Independent
Facility Name CITRUS PATH LLC
Street 4314 N SUNCOAST BLVD
City CRYSTAL RIVER
State FL
ZIP 34428
Phone 352 794-6385
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 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Independent
Lab Director KENNETH A. WALLACE

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