10D1041523 CLIA NUMBER - SMH PHYSICIAN SERVICES, INC

Laboratory Demographics

  • CLIA Code: 10D1041523
  • Facility Name: SMH PHYSICIAN SERVICES, INC
  • Facility Address: WALDEMERE MEDICAL PLAZA STE 605 1921 WALDEMERE STREET
    SARASOTA, FL
    ZIP 34239
  • Facility Phone: 941 917-8100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT OPPENHEIMER
  • NPI Number: 1619165305
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1041523
LAB Type Physician Office
Facility Name SMH PHYSICIAN SERVICES, INC
Street WALDEMERE MEDICAL PLAZA STE 605 1921 WALDEMERE STREET
City SARASOTA
State FL
ZIP 34239
Phone 941 917-8100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Physician Office
Lab Director ROBERT OPPENHEIMER

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