05D1020173 CLIA NUMBER - PLANNED PARENTHOOD SHASTA PACIFIC

Laboratory Demographics

  • CLIA Code: 05D1020173
  • Facility Name: PLANNED PARENTHOOD SHASTA PACIFIC
  • Facility Address: 2 H STREET
    SAN RAFAEL, CA
    ZIP 94901
  • Facility Phone: 925 676-0505
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. ART MENDOZA
  • NPI Number: 1659671600
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1020173
LAB Type Independent
Facility Name PLANNED PARENTHOOD SHASTA PACIFIC
Street 2 H STREET
City SAN RAFAEL
State CA
ZIP 94901
Phone 925 676-0505
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 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Independent
Lab Director DR. ART MENDOZA

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