10D0996527 CLIA NUMBER - RENALDAS A SMIDTAS

Laboratory Demographics

  • CLIA Code: 10D0996527
  • Facility Name: RENALDAS A SMIDTAS
  • Facility Address: 1437 NORTH OHIO AVE
    LIVE OAK, FL
    ZIP 32064
  • Facility Phone: 386 362-5840
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RENALDAS SMIDTAS
  • NPI Number: 1215110192
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0996527
LAB Type Physician Office
Facility Name RENALDAS A SMIDTAS
Street 1437 NORTH OHIO AVE
City LIVE OAK
State FL
ZIP 32064
Phone 386 362-5840
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/20/2024
Certificate Expiration Date 2/19/2026
Facility Type Physician Office
Lab Director RENALDAS SMIDTAS

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