33D1038823 CLIA NUMBER - SHELLY SHI MD

Laboratory Demographics

  • CLIA Code: 33D1038823
  • Facility Name: SHELLY SHI MD
  • Facility Address: 185 CANAL STREET, 4TH FLOOR
    NEW YORK, NY
    ZIP 10013
  • Facility Phone: 212 343-7323
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHELLY SHI
  • NPI Number: 1992721104
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D1038823
LAB Type Physician Office
Facility Name SHELLY SHI MD
Street 185 CANAL STREET, 4TH FLOOR
City NEW YORK
State NY
ZIP 10013
Phone 212 343-7323
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Physician Office
Lab Director DR. SHELLY SHI

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