10D2252272 CLIA NUMBER - EMPATH LIFE, LLC

Laboratory Demographics

CLIA Code: 10D2252272
Facility Name: EMPATH LIFE, LLC
Facility Address: 5414 BEAUMONT CENTER BLVD - STE 200
TAMPA, FL
ZIP 33634
Facility Phone: 727 523-2115
Facility Type: Other - PACE PROGRAM/ADC
Facility Type: Waiver
Lab Director: WILLIAM BURT
NPI Number: 1780389601
Taxonomy: 251T00000X - Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

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CLIA Record

Field Name	Field Value
CLIA Number	10D2252272
LAB Type	Other - PACE PROGRAM/ADC
Facility Name	EMPATH LIFE, LLC
Street	5414 BEAUMONT CENTER BLVD - STE 200
City	TAMPA
State	FL
ZIP	33634
Phone	727 523-2115
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	2/10/2024
Certificate Expiration Date	2/9/2026
Facility Type	Other - PACE PROGRAM/ADC
Lab Director	WILLIAM BURT

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