01D0977839 CLIA NUMBER - MITCHELL C SHIRAH MD PC

Laboratory Demographics

  • CLIA Code: 01D0977839
  • Facility Name: MITCHELL C SHIRAH MD PC
  • Facility Address: 59664 HWY 22
    ROANOKE, AL
    ZIP 36274
  • Facility Phone: 334 863-8951
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. STEPHANIE ESTES RN BSN
  • NPI Number: 1265603351
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0977839
LAB Type Physician Office
Facility Name MITCHELL C SHIRAH MD PC
Street 59664 HWY 22
City ROANOKE
State AL
ZIP 36274
Phone 334 863-8951
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Physician Office
Lab Director MS. STEPHANIE ESTES RN BSN

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