05D2182495 CLIA NUMBER - MICHAEL STASZEL, DO

Laboratory Demographics

CLIA Number: 05D2182495

Facility Name: MICHAEL STASZEL, DO

Facility Address:
822 PONE STREET
MOUNT SHASTA, CA
ZIP 96067
Get Directions

Facility Phone Number: 530 926-5261

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1396209086

Taxonomy: 261QP2300X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	4/22/2024
CertificateExpirationDate	4/21/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024