10D2131153 CLIA NUMBER - SMH PHYSICIAN SERVICES, INC

Laboratory Demographics

  • CLIA Code: 10D2131153
  • Facility Name: SMH PHYSICIAN SERVICES, INC
  • Facility Address: 1825 DR MARTIN LUTHER KING JR WAY
    SARASOTA, FL
    ZIP 34234
  • Facility Phone: 941 952-4123
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIDA FARHANGI
  • NPI Number: 1699209270
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2131153
LAB Type Physician Office
Facility Name SMH PHYSICIAN SERVICES, INC
Street 1825 DR MARTIN LUTHER KING JR WAY
City SARASOTA
State FL
ZIP 34234
Phone 941 952-4123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Physician Office
Lab Director VIDA FARHANGI

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