05D0720018 CLIA NUMBER - DIGNITY HEALTH MERCY ONCOLOGY CENTER

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Laboratory Demographics

CLIA Number: 05D0720018

Facility Name: DIGNITY HEALTH MERCY ONCOLOGY CENTER

Facility Address:
310 HARTNELL AVE
REDDING, CA
ZIP 96002
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Facility Phone Number: 530 225-7165

Facility Type: Community Clinic

Certificate Type: Accreditation

NPI Number: 1336588870

Taxonomy: 261QX0200X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.

CLIA Record

Field Name	Field Value
CLIA Number	05D0720018
LAB Type	Community Clinic
Facility Name	DIGNITY HEALTH MERCY ONCOLOGY CENTER
Street	310 HARTNELL AVE
City	REDDING
State	CA
ZIP	96002
Phone	530 225-7165
CertificateType	1
CertificateEffectiveDate	11/26/2022
CertificateExpirationDate	11/25/2024
FacilityType	Accreditation

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This page was last updated on: 4/23/2024