05D0922830 CLIA NUMBER - SHASTA FAMILY CARE

Laboratory Demographics

  • CLIA Code: 05D0922830
  • Facility Name: SHASTA FAMILY CARE
  • Facility Address: 725 PINE STREET
    MOUNT SHASTA, CA
    ZIP 96067
  • Facility Phone: 530 926-4556
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DEBORAH A. HIGER MD
  • NPI Number: 1902183098
  • Taxonomy: 364SF0001X - Clinical Nurse Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D0922830
LAB Type Physician Office
Facility Name SHASTA FAMILY CARE
Street 725 PINE STREET
City MOUNT SHASTA
State CA
ZIP 96067
Phone 530 926-4556
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type Physician Office
Lab Director DEBORAH A. HIGER MD

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