05D1101182 CLIA NUMBER - SMART CLINIC

Laboratory Demographics

  • CLIA Code: 05D1101182
  • Facility Name: SMART CLINIC
  • Facility Address: 2707 E VALLEY BLVD #116
    WEST COVINA, CA
    ZIP 91792
  • Facility Phone: 626 581-1000
  • Facility Type: Other
  • Facility Type: Microscopy
  • Lab Director: ANDY HSU
  • NPI Number: 1881828317
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1101182
LAB Type Other
Facility Name SMART CLINIC
Street 2707 E VALLEY BLVD #116
City WEST COVINA
State CA
ZIP 91792
Phone 626 581-1000
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 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Other
Lab Director ANDY HSU

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