04D0465525 CLIA NUMBER - GEORGE W SMITH MD PA

Laboratory Demographics

  • CLIA Code: 04D0465525
  • Facility Name: GEORGE W SMITH MD PA
  • Facility Address: 704 WEST GROVE SUITE 2
    EL DORADO, AR
    ZIP 71730
  • Facility Phone: 870 862-7661
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GEORGE W. SMITH
  • NPI Number: 1831179779
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D0465525
LAB Type Physician Office
Facility Name GEORGE W SMITH MD PA
Street 704 WEST GROVE SUITE 2
City EL DORADO
State AR
ZIP 71730
Phone 870 862-7661
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 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Physician Office
Lab Director GEORGE W. SMITH

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