10D0931513 CLIA NUMBER - RENALDAS A SMIDTAS MD

Laboratory Demographics

  • CLIA Code: 10D0931513
  • Facility Name: RENALDAS A SMIDTAS MD
  • Facility Address: 413 NORTHWEST FIFTH AVENUE
    JASPER, FL
    ZIP 32052
  • Facility Phone: 386 792-0753
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RENALDAS A. SMIDTAS
  • NPI Number: 1568571263
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0931513
LAB Type Physician Office
Facility Name RENALDAS A SMIDTAS MD
Street 413 NORTHWEST FIFTH AVENUE
City JASPER
State FL
ZIP 32052
Phone 386 792-0753
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2025
Certificate Expiration Date 7/29/2027
Facility Type Physician Office
Lab Director RENALDAS A. SMIDTAS

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