34D2294461 CLIA NUMBER - SA-SHIQ LLC

Laboratory Demographics

  • CLIA Code: 34D2294461
  • Facility Name: SA-SHIQ LLC
  • Facility Address: 3800 MEETING STREET 1ST FLOOR
    INDIAN TRAIL, NC
    ZIP 28079
  • Facility Phone: 704 893-2008
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: LATOYA SHEPPARD
  • NPI Number: 1174303861
  • Taxonomy: 246RP1900X - Technician, Pathology

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CLIA Record

Field Name Field Value
CLIA Number 34D2294461
LAB Type Independent
Facility Name SA-SHIQ LLC
Street 3800 MEETING STREET 1ST FLOOR
City INDIAN TRAIL
State NC
ZIP 28079
Phone 704 893-2008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2023
Certificate Expiration Date 11/26/2025
Facility Type Independent
Lab Director LATOYA SHEPPARD

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