10D1049850 CLIA NUMBER - SMH PHYSICIAN SERVICES INC

Laboratory Demographics

  • CLIA Code: 10D1049850
  • Facility Name: SMH PHYSICIAN SERVICES INC
  • Facility Address: 842 SUNSET LAKE BLVD #401
    VENICE, FL
    ZIP 34292
  • Facility Phone: 941 408-7880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY GLOVER
  • NPI Number: 1033184098
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1049850
LAB Type Physician Office
Facility Name SMH PHYSICIAN SERVICES INC
Street 842 SUNSET LAKE BLVD #401
City VENICE
State FL
ZIP 34292
Phone 941 408-7880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Physician Office
Lab Director JEFFREY GLOVER

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