39D2177610 CLIA NUMBER - SHIELDS AND SHIELDS, PC

Laboratory Demographics

  • CLIA Code: 39D2177610
  • Facility Name: SHIELDS AND SHIELDS, PC
  • Facility Address: 840 WALNUT ST, SUITE 1440
    PHILADELPHIA, PA
    ZIP 19107
  • Facility Phone: 215 928-3438
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CAROL L. SHIELDS
  • NPI Number: 1063501526
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 39D2177610
LAB Type Physician Office
Facility Name SHIELDS AND SHIELDS, PC
Street 840 WALNUT ST, SUITE 1440
City PHILADELPHIA
State PA
ZIP 19107
Phone 215 928-3438
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2024
Certificate Expiration Date 1/14/2026
Facility Type Physician Office
Lab Director DR. CAROL L. SHIELDS

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