CLIA lab
CLIA 05D0683237: Mercy MT Shasta Community Clinic
Mount Shasta, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0683237 belongs to Mercy MT Shasta Community Clinic in Mount Shasta, CA.
Certificate for Provider-Performed Microscopy Procedures, effective October 10, 2025, expires October 9, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- October 10, 2025
- Certificate expiration
- October 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 21, 1994
- Facility type
- Community clinic
- Ownership (control type)
- Religious affiliation
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0683237
- Lab name
- Mercy MT Shasta Community Clinic
- Address
- 912 Pine St, Mount Shasta, CA 96067
- Phone
- (530) 926-9334
Annual test volume the lab reported
- Waived tests
- 2,864
- Provider-performed microscopy tests
- 200
- Total
- 3,064
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Mount Shasta, CA
- Mercy Medical Center Mount ShastaCertificate of Accreditation, Hospital05D0618411
- Michael Staszel, DOCertificate of Waiver, Physician office05D2182495
- Pine Street ClinicCertificate of Waiver, Community clinic05D2069763
- Shasta Family CareCertificate for Provider-Performed Microscopy Procedures, Physician office05D0922830
Related
Questions
What is the CLIA number for Mercy MT Shasta Community Clinic in Mount Shasta?
05D0683237, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mercy MT Shasta Community Clinic hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0683237 expire?
The CMS file lists October 9, 2027 as the certificate expiration date; the certificate took effect October 10, 2025.