05D0618411 CLIA NUMBER - MERCY MEDICAL CENTER MOUNT SHASTA

Laboratory Demographics

  • CLIA Code: 05D0618411
  • Facility Name: MERCY MEDICAL CENTER MOUNT SHASTA
  • Facility Address: 914 PINE STREET
    MOUNT SHASTA, CA
    ZIP 96067
  • Facility Phone: 530 926-9334
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: SEAN D. PITMAN
  • NPI Number: 1376535344
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0618411
LAB Type Hospital
Facility Name MERCY MEDICAL CENTER MOUNT SHASTA
Street 914 PINE STREET
City MOUNT SHASTA
State CA
ZIP 96067
Phone 530 926-9334
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 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Hospital
Lab Director SEAN D. PITMAN

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