05D0684604 CLIA NUMBER - MERCY SAN JUAN HOSPITAL PUL FUNCT LAB

Laboratory Demographics

  • CLIA Code: 05D0684604
  • Facility Name: MERCY SAN JUAN HOSPITAL PUL FUNCT LAB
  • Facility Address: 6501 COYLE AVE
    CARMICHAEL, CA
    ZIP 95608
  • Facility Phone: 916 539-5384
  • Facility Type: Other - BLOOD GAS
  • Facility Type: Accreditation
  • Lab Director: DR. LAWRENCE BISTRONG
  • NPI Number: 1972541498
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D0684604
LAB Type Other - BLOOD GAS
Facility Name MERCY SAN JUAN HOSPITAL PUL FUNCT LAB
Street 6501 COYLE AVE
City CARMICHAEL
State CA
ZIP 95608
Phone 916 539-5384
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 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Other - BLOOD GAS
Lab Director DR. LAWRENCE BISTRONG

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