10D2040111 CLIA NUMBER - ALAN A SMITH MD LLC

Laboratory Demographics

  • CLIA Code: 10D2040111
  • Facility Name: ALAN A SMITH MD LLC
  • Facility Address: 1769 66TH ST NORTH
    SAINT PETERSBURG, FL
    ZIP 33710
  • Facility Phone: 727 343-2741
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALAN A. SMITH
  • NPI Number: 1821130972
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2040111
LAB Type Physician Office
Facility Name ALAN A SMITH MD LLC
Street 1769 66TH ST NORTH
City SAINT PETERSBURG
State FL
ZIP 33710
Phone 727 343-2741
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Physician Office
Lab Director ALAN A. SMITH

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