CLIA lab

CLIA 10D1018109: Kenneth A Sampong MD

Leesburg, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 10D1018109 belongs to Kenneth A Sampong MD in Leesburg, FL.

Certificate of Waiver, effective October 14, 2025, expires October 13, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
October 14, 2025
Certificate expiration
October 13, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 14, 2003
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
10D1018109
Lab name
Kenneth A Sampong MD
Address
709 Physician Ct, Leesburg, FL 34748
Phone
(352) 728-5116
Fax
(352) 728-5928

Annual test volume the lab reported

Waived tests
2,500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Kenneth A Sampong MD in Leesburg?

10D1018109, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kenneth A Sampong MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D1018109 expire?

The CMS file lists October 13, 2027 as the certificate expiration date; the certificate took effect October 14, 2025.

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