10D2290136 CLIA NUMBER - AMERIPATH FLORIDA LLC

Laboratory Demographics

  • CLIA Code: 10D2290136
  • Facility Name: AMERIPATH FLORIDA LLC
  • Facility Address: 1324 E LAKE CANNON DRIVE NW
    WINTER HAVEN, FL
    ZIP 33881
  • Facility Phone: 863 221-9021
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: CLIFFORD H. THRELKELD
  • NPI Number: 1194501122
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D2290136
LAB Type Independent
Facility Name AMERIPATH FLORIDA LLC
Street 1324 E LAKE CANNON DRIVE NW
City WINTER HAVEN
State FL
ZIP 33881
Phone 863 221-9021
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 4/5/2024
Certificate Expiration Date 4/4/2026
Facility Type Independent
Lab Director CLIFFORD H. THRELKELD

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