39D2112148 CLIA NUMBER - CHESTER L SMITH JR MD PC

Laboratory Demographics

  • CLIA Code: 39D2112148
  • Facility Name: CHESTER L SMITH JR MD PC
  • Facility Address: 369 EAST BROWN STREET
    EAST STROUDSBURG, PA
    ZIP 18301
  • Facility Phone: 570 421-6040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHESTER L. SMITH
  • NPI Number: 1003813585
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 39D2112148
LAB Type Physician Office
Facility Name CHESTER L SMITH JR MD PC
Street 369 EAST BROWN STREET
City EAST STROUDSBURG
State PA
ZIP 18301
Phone 570 421-6040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type Physician Office
Lab Director DR. CHESTER L. SMITH

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