05D2182495 CLIA NUMBER - MICHAEL STASZEL, DO

Laboratory Demographics

  • CLIA Code: 05D2182495
  • Facility Name: MICHAEL STASZEL, DO
  • Facility Address: 822 PONE STREET
    MOUNT SHASTA, CA
    ZIP 96067
  • Facility Phone: 530 926-5261
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL Z. STASZEL
  • NPI Number: 1396209086
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2182495
LAB Type Physician Office
Facility Name MICHAEL STASZEL, DO
Street 822 PONE STREET
City MOUNT SHASTA
State CA
ZIP 96067
Phone 530 926-5261
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Physician Office
Lab Director MICHAEL Z. STASZEL

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