34D1055243 CLIA NUMBER - SHUBI SHAHIDA MD PC

Laboratory Demographics

  • CLIA Code: 34D1055243
  • Facility Name: SHUBI SHAHIDA MD PC
  • Facility Address: 712-A WILKINS ST
    SMITHFIELD, NC
    ZIP 27577
  • Facility Phone: 919 989-9109
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHUBI SHAHIDA MD
  • NPI Number: 1407803562
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D1055243
LAB Type Physician Office
Facility Name SHUBI SHAHIDA MD PC
Street 712-A WILKINS ST
City SMITHFIELD
State NC
ZIP 27577
Phone 919 989-9109
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2024
Certificate Expiration Date 6/12/2026
Facility Type Physician Office
Lab Director SHUBI SHAHIDA MD

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This page was last updated on: 6/4/2025