44D0314799 CLIA NUMBER - SHEA CLINIC

Laboratory Demographics

  • CLIA Code: 44D0314799
  • Facility Name: SHEA CLINIC
  • Facility Address: 6133 POPLAR PIKE
    MEMPHIS, TN
    ZIP 38119
  • Facility Phone: 901 761-9720
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PAUL F. SHEA MD
  • NPI Number: 1568427128
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 44D0314799
LAB Type Ambulatory Surgery Center
Facility Name SHEA CLINIC
Street 6133 POPLAR PIKE
City MEMPHIS
State TN
ZIP 38119
Phone 901 761-9720
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Ambulatory Surgery Center
Lab Director PAUL F. SHEA MD

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