16D0384910 CLIA NUMBER - MATTHEW SMITH, MD, PC

Laboratory Demographics

  • CLIA Code: 16D0384910
  • Facility Name: MATTHEW SMITH, MD, PC
  • Facility Address: 1753 W RIDGEWAY, SUITE 103A
    WATERLOO, IA
    ZIP 50701
  • Facility Phone: 319 235-3568
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MATTHEW J. SMITH
  • NPI Number: 1609876507
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 16D0384910
LAB Type Physician Office
Facility Name MATTHEW SMITH, MD, PC
Street 1753 W RIDGEWAY, SUITE 103A
City WATERLOO
State IA
ZIP 50701
Phone 319 235-3568
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/29/2024
Certificate Expiration Date 1/28/2026
Facility Type Physician Office
Lab Director MATTHEW J. SMITH

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