10D2323898 CLIA NUMBER - MEDIPATH LLC

Laboratory Demographics

  • CLIA Code: 10D2323898
  • Facility Name: MEDIPATH LLC
  • Facility Address: 10151 DEERWOOD PARK BLVD S-250 BLDG 200
    JACKSONVILLE, FL
    ZIP 32256
  • Facility Phone: 786 464-0749
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: PATRICIA I. DELGADO
  • NPI Number: 1316752447
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D2323898
LAB Type Physician Office
Facility Name MEDIPATH LLC
Street 10151 DEERWOOD PARK BLVD S-250 BLDG 200
City JACKSONVILLE
State FL
ZIP 32256
Phone 786 464-0749
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 5/15/2025
Certificate Expiration Date 5/14/2027
Facility Type Physician Office
Lab Director PATRICIA I. DELGADO

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