44D2213022 CLIA NUMBER - SHOTRX, LLC

Laboratory Demographics

  • CLIA Code: 44D2213022
  • Facility Name: SHOTRX, LLC
  • Facility Address: 6084 APPLE TREE DRIVE #11
    MEMPHIS, TN
    ZIP 38115
  • Facility Phone: 901 779-6500
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: THEADORE LYONS II
  • NPI Number: 1154990943
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2213022
LAB Type Community Clinic
Facility Name SHOTRX, LLC
Street 6084 APPLE TREE DRIVE #11
City MEMPHIS
State TN
ZIP 38115
Phone 901 779-6500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Community Clinic
Lab Director THEADORE LYONS II

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