05D2036272 CLIA NUMBER - MERCY MEDICAL GROUP, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION

Laboratory Demographics

  • CLIA Code: 05D2036272
  • Facility Name: MERCY MEDICAL GROUP, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION
  • Facility Address: 3301 C STREET, SUITE 550
    SACRAMENTO, CA
    ZIP 95816
  • Facility Phone: 916 556-3200
  • Facility Type: Other - CANCER CENTER
  • Facility Type: Waiver
  • Lab Director: JOHN M. STEVENSON
  • NPI Number: 1942430566
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2036272
LAB Type Other - CANCER CENTER
Facility Name MERCY MEDICAL GROUP, A SERVICE OF DIGNITY HEALTH MEDICAL FOUNDATION
Street 3301 C STREET, SUITE 550
City SACRAMENTO
State CA
ZIP 95816
Phone 916 556-3200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Other - CANCER CENTER
Lab Director JOHN M. STEVENSON

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