26D1093439 CLIA NUMBER - SMDH FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 26D1093439
  • Facility Name: SMDH FAMILY MEDICINE
  • Facility Address: 35629 HIGHWAY 72
    SALEM, MO
    ZIP 65560
  • Facility Phone: 573 729-8000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: NASER ALMASALMEH
  • NPI Number: 1821243981
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D1093439
LAB Type Physician Office
Facility Name SMDH FAMILY MEDICINE
Street 35629 HIGHWAY 72
City SALEM
State MO
ZIP 65560
Phone 573 729-8000
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 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Physician Office
Lab Director NASER ALMASALMEH

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