45D0660021 CLIA NUMBER - SHANNON MED CTR-MEMORIAL CAMPUS/LAB

Laboratory Demographics

  • CLIA Code: 45D0660021
  • Facility Name: SHANNON MED CTR-MEMORIAL CAMPUS/LAB
  • Facility Address: 120 EAST HARRIS AVE
    SAN ANGELO, TX
    ZIP 76903
  • Facility Phone: 915 653-6741
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. KELLY C. HALLMARK
  • NPI Number: 1699016337
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D0660021
LAB Type Hospital
Facility Name SHANNON MED CTR-MEMORIAL CAMPUS/LAB
Street 120 EAST HARRIS AVE
City SAN ANGELO
State TX
ZIP 76903
Phone 915 653-6741
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Hospital
Lab Director DR. KELLY C. HALLMARK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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