23D0375592 CLIA NUMBER - DAVID J SMITH MD

Laboratory Demographics

  • CLIA Code: 23D0375592
  • Facility Name: DAVID J SMITH MD
  • Facility Address: 1035 CHARLEVOIX DRIVE, SUITE 100
    GRAND LEDGE, MI
    ZIP 48837
  • Facility Phone: 517 627-2181
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID J. SMITH
  • NPI Number: 1275623662
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0375592
LAB Type Physician Office
Facility Name DAVID J SMITH MD
Street 1035 CHARLEVOIX DRIVE, SUITE 100
City GRAND LEDGE
State MI
ZIP 48837
Phone 517 627-2181
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 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Physician Office
Lab Director DAVID J. SMITH

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This page was last updated on: 6/4/2025