10D2233215 CLIA NUMBER - SMH PHYSICIAN SERVICES INC

Laboratory Demographics

  • CLIA Code: 10D2233215
  • Facility Name: SMH PHYSICIAN SERVICES INC
  • Facility Address: 200 HEALTHCARE WAY 2ND FLOOR
    NORTH VENICE, FL
    ZIP 34275
  • Facility Phone: 941 366-9222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACK J. WAZEN
  • NPI Number: 1295832657
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 10D2233215
LAB Type Physician Office
Facility Name SMH PHYSICIAN SERVICES INC
Street 200 HEALTHCARE WAY 2ND FLOOR
City NORTH VENICE
State FL
ZIP 34275
Phone 941 366-9222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2025
Certificate Expiration Date 8/19/2027
Facility Type Physician Office
Lab Director JACK J. WAZEN

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