10D0946056 CLIA NUMBER - STEPHEN J SHIELDS MD PA

Laboratory Demographics

  • CLIA Code: 10D0946056
  • Facility Name: STEPHEN J SHIELDS MD PA
  • Facility Address: 1211 REYNOLDS AVENUE
    CLEARWATER, FL
    ZIP 33756
  • Facility Phone: 727 466-6564
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN J. SHIELDS
  • NPI Number: 1427018506
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0946056
LAB Type Physician Office
Facility Name STEPHEN J SHIELDS MD PA
Street 1211 REYNOLDS AVENUE
City CLEARWATER
State FL
ZIP 33756
Phone 727 466-6564
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2024
Certificate Expiration Date 5/17/2026
Facility Type Physician Office
Lab Director STEPHEN J. SHIELDS

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