04D0876054 CLIA NUMBER - GREG SMART, MD

Laboratory Demographics

  • CLIA Code: 04D0876054
  • Facility Name: GREG SMART, MD
  • Facility Address: 209 THOMPSON SUITE 2
    EL DORADO, AR
    ZIP 71730
  • Facility Phone: 870 864-0333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. GREG SMART
  • NPI Number: 1073506010
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 04D0876054
LAB Type Physician Office
Facility Name GREG SMART, MD
Street 209 THOMPSON SUITE 2
City EL DORADO
State AR
ZIP 71730
Phone 870 864-0333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2025
Certificate Expiration Date 9/7/2027
Facility Type Physician Office
Lab Director DR. GREG SMART

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