01D0303430 CLIA NUMBER - KENNY E SMITH MD PC

Laboratory Demographics

  • CLIA Code: 01D0303430
  • Facility Name: KENNY E SMITH MD PC
  • Facility Address: 760 CHESTNUT STREET
    GADSDEN, AL
    ZIP 35901
  • Facility Phone: 256 543-1100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KENNY E. SMITH
  • NPI Number: 1295736460
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0303430
LAB Type Physician Office
Facility Name KENNY E SMITH MD PC
Street 760 CHESTNUT STREET
City GADSDEN
State AL
ZIP 35901
Phone 256 543-1100
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director KENNY E. SMITH

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This page was last updated on: 3/20/2025