18D0896457 CLIA NUMBER - CARL E SMITH MD

Laboratory Demographics

  • CLIA Code: 18D0896457
  • Facility Name: CARL E SMITH MD
  • Facility Address: 120 PROFESSIONAL LANE SUITE 201
    HARLAN, KY
    ZIP 40831
  • Facility Phone: 606 573-1004
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. CARL E. SMITH MD
  • NPI Number: 1972583607
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 18D0896457
LAB Type Physician Office
Facility Name CARL E SMITH MD
Street 120 PROFESSIONAL LANE SUITE 201
City HARLAN
State KY
ZIP 40831
Phone 606 573-1004
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 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Physician Office
Lab Director DR. CARL E. SMITH MD

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