05D0934580 CLIA NUMBER - SHASTA PATHOLOGY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 05D0934580
  • Facility Name: SHASTA PATHOLOGY ASSOCIATES
  • Facility Address: 2036 RAILROAD AVENUE
    REDDING, CA
    ZIP 96001
  • Facility Phone: 530 255-1000
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. TIKOES A. BLANKENBERG
  • NPI Number: 1093712689
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 05D0934580
LAB Type Independent
Facility Name SHASTA PATHOLOGY ASSOCIATES
Street 2036 RAILROAD AVENUE
City REDDING
State CA
ZIP 96001
Phone 530 255-1000
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 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Independent
Lab Director DR. TIKOES A. BLANKENBERG

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