08D0861879 CLIA NUMBER - KENNETH R SMITH MD

Laboratory Demographics

  • CLIA Code: 08D0861879
  • Facility Name: KENNETH R SMITH MD
  • Facility Address: 8991 REDDEN RD
    BRIDGEVILLE, DE
    ZIP 19933
  • Facility Phone: 302 337-3300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH R. SMITH
  • NPI Number: 1316029077
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 08D0861879
LAB Type Physician Office
Facility Name KENNETH R SMITH MD
Street 8991 REDDEN RD
City BRIDGEVILLE
State DE
ZIP 19933
Phone 302 337-3300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director KENNETH R. SMITH

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