19D0464289 CLIA NUMBER - JAMES M SMITH MD

Laboratory Demographics

  • CLIA Code: 19D0464289
  • Facility Name: JAMES M SMITH MD
  • Facility Address: 532 S WASHINGTON
    BASTROP, LA
    ZIP 71220
  • Facility Phone: 318 281-5600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES M. SMITH
  • NPI Number: 1225065709
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 19D0464289
LAB Type Physician Office
Facility Name JAMES M SMITH MD
Street 532 S WASHINGTON
City BASTROP
State LA
ZIP 71220
Phone 318 281-5600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type Physician Office
Lab Director JAMES M. SMITH

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