11D2184068 CLIA NUMBER - SHIKHA SHAH, MD LLC DBA PRESTIGE FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 11D2184068
  • Facility Name: SHIKHA SHAH, MD LLC DBA PRESTIGE FAMILY MEDICINE
  • Facility Address: 6200 BRADLEY PARK DRIVE
    COLUMBUS, GA
    ZIP 31904
  • Facility Phone: 706 315-3515
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHIKHA SHAH
  • NPI Number: 1457989618
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2184068
LAB Type Physician Office
Facility Name SHIKHA SHAH, MD LLC DBA PRESTIGE FAMILY MEDICINE
Street 6200 BRADLEY PARK DRIVE
City COLUMBUS
State GA
ZIP 31904
Phone 706 315-3515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Physician Office
Lab Director SHIKHA SHAH

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