44D2023517 CLIA NUMBER - SHOT NURSE PC, THE

Laboratory Demographics

  • CLIA Code: 44D2023517
  • Facility Name: SHOT NURSE PC, THE
  • Facility Address: 7596 FARMINGTON BLVD
    GERMANTOWN, TN
    ZIP 38138
  • Facility Phone: 901 685-9999
  • Facility Type: Other - WELLNESS CLINIC-SCREENING
  • Facility Type: Waiver
  • Lab Director: DEBORAH OVERALL
  • NPI Number: 1134537061
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2023517
LAB Type Other - WELLNESS CLINIC-SCREENING
Facility Name SHOT NURSE PC, THE
Street 7596 FARMINGTON BLVD
City GERMANTOWN
State TN
ZIP 38138
Phone 901 685-9999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Other - WELLNESS CLINIC-SCREENING
Lab Director DEBORAH OVERALL

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