10D2175112 CLIA NUMBER - ELITE IMAGING LLC DBA AKUMIN PALM HARBOR

Laboratory Demographics

  • CLIA Code: 10D2175112
  • Facility Name: ELITE IMAGING LLC DBA AKUMIN PALM HARBOR
  • Facility Address: 4133 WOODLANDS PKWY
    PALM HARBOR, FL
    ZIP 34685
  • Facility Phone: 727 781-3888
  • Facility Type: Other - RADIOLOGY DIAG CTR
  • Facility Type: Waiver
  • Lab Director: VALERIE BATES
  • NPI Number: 1629162904
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2175112
LAB Type Other - RADIOLOGY DIAG CTR
Facility Name ELITE IMAGING LLC DBA AKUMIN PALM HARBOR
Street 4133 WOODLANDS PKWY
City PALM HARBOR
State FL
ZIP 34685
Phone 727 781-3888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Other - RADIOLOGY DIAG CTR
Lab Director VALERIE BATES

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