44D1000113 CLIA NUMBER - SHYAMAL SARKAR, MD

Laboratory Demographics

  • CLIA Code: 44D1000113
  • Facility Name: SHYAMAL SARKAR, MD
  • Facility Address: 170 MURRAY GUARD DRIVE
    JACKSON, TN
    ZIP 38305
  • Facility Phone: 731 984-8390
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SHYAMAL SARKAR MD
  • NPI Number: 1841260767
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 44D1000113
LAB Type Physician Office
Facility Name SHYAMAL SARKAR, MD
Street 170 MURRAY GUARD DRIVE
City JACKSON
State TN
ZIP 38305
Phone 731 984-8390
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Physician Office
Lab Director SHYAMAL SARKAR MD

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