10D1071403 CLIA NUMBER - MATTHEW G SMITH MD PA

Laboratory Demographics

  • CLIA Code: 10D1071403
  • Facility Name: MATTHEW G SMITH MD PA
  • Facility Address: 530 TYRONE BLVD
    SAINT PETERSBURG, FL
    ZIP 33710
  • Facility Phone: 727 823-3022
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW G. SMITH MD
  • NPI Number: 1235121724
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1071403
LAB Type Physician Office
Facility Name MATTHEW G SMITH MD PA
Street 530 TYRONE BLVD
City SAINT PETERSBURG
State FL
ZIP 33710
Phone 727 823-3022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2025
Certificate Expiration Date 7/24/2027
Facility Type Physician Office
Lab Director MATTHEW G. SMITH MD

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