45D2060106 CLIA NUMBER - SHANNON SMITH,MD PA

Laboratory Demographics

  • CLIA Code: 45D2060106
  • Facility Name: SHANNON SMITH,MD PA
  • Facility Address: 3302 NE STALLINGS DR
    NACOGDOCHES, TX
    ZIP 75965
  • Facility Phone: 936 564-3600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHANNON SMITH
  • NPI Number: 1598876237
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 45D2060106
LAB Type Physician Office
Facility Name SHANNON SMITH,MD PA
Street 3302 NE STALLINGS DR
City NACOGDOCHES
State TX
ZIP 75965
Phone 936 564-3600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Physician Office
Lab Director SHANNON SMITH

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