11D2323075 CLIA NUMBER - SMITH MEDICAL GROUP, LLC

Laboratory Demographics

  • CLIA Code: 11D2323075
  • Facility Name: SMITH MEDICAL GROUP, LLC
  • Facility Address: 3400 CHAPEL HILL ROAD, SUITE 105
    DOUGLASVILLE, GA
    ZIP 30135
  • Facility Phone: 678 252-9502
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MARY SMITH
  • NPI Number: 1467245290
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 11D2323075
LAB Type Home Health Agency
Facility Name SMITH MEDICAL GROUP, LLC
Street 3400 CHAPEL HILL ROAD, SUITE 105
City DOUGLASVILLE
State GA
ZIP 30135
Phone 678 252-9502
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Home Health Agency
Lab Director MARY SMITH

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