10D2061801 CLIA NUMBER - SMH PHYSICIAN SERVICES INC

Laboratory Demographics

  • CLIA Code: 10D2061801
  • Facility Name: SMH PHYSICIAN SERVICES INC
  • Facility Address: 997 N US 41 BYPASS, STE 201
    VENICE, FL
    ZIP 34285
  • Facility Phone: 941 917-8720
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER JEFFERSON
  • NPI Number: 1043666019
  • Taxonomy: 2086X0206X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 10D2061801
LAB Type Physician Office
Facility Name SMH PHYSICIAN SERVICES INC
Street 997 N US 41 BYPASS, STE 201
City VENICE
State FL
ZIP 34285
Phone 941 917-8720
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2025
Certificate Expiration Date 7/4/2027
Facility Type Physician Office
Lab Director CHRISTOPHER JEFFERSON

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