05D0588097 CLIA NUMBER - MAMMOTH HOSPITAL LABORATORY

Laboratory Demographics

CLIA Number: 05D0588097

Facility Name: MAMMOTH HOSPITAL LABORATORY

Facility Address:
85 SIERRA PARK RD
MAMMOTH LAKES, CA
ZIP 93546
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Facility Phone Number: (760) 924-4090

Facility Type: HOSPITAL

Certificate Type: Accreditation

NPI Number: 1801040951

Taxonomy: 282NC0060X - General Acute Care Hospital
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CLIA Record

Field Name Field Value
CLIA Number 05D0588097
LAB Type HOSPITAL
Facility Name MAMMOTH HOSPITAL LABORATORY
Street 85 SIERRA PARK RD
City MAMMOTH LAKES
State CA
ZIP 93546
Phone (760) 924-4090

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This page was last updated on: 1/7/2022