39D0926835 CLIA NUMBER - SMETHPORT FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 39D0926835
  • Facility Name: SMETHPORT FAMILY PRACTICE
  • Facility Address: 406 FRANKLIN STREET
    SMETHPORT, PA
    ZIP 16749
  • Facility Phone: 814 887-5655
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. CORY M. MATHIAS
  • NPI Number: 1275858086
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 39D0926835
LAB Type Community Clinic
Facility Name SMETHPORT FAMILY PRACTICE
Street 406 FRANKLIN STREET
City SMETHPORT
State PA
ZIP 16749
Phone 814 887-5655
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Community Clinic
Lab Director DR. CORY M. MATHIAS

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