CLIA lab
CLIA 05D0922830: Shasta Family Care
Mount Shasta, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0922830 belongs to Shasta Family Care in Mount Shasta, CA.
Certificate for Provider-Performed Microscopy Procedures, effective December 6, 2024, expires December 5, 2026.
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
- December 6, 2024
- Certificate expiration
- December 5, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 6, 1996
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0922830
- Lab name
- Shasta Family Care
- Address
- 725 Pine Street, Mount Shasta, CA 96067
- Phone
- (530) 926-4556
- Fax
- (530) 926-4532
Annual test volume the lab reported
- Waived tests
- 99
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mount Shasta, CA
- Mercy MT Shasta Community ClinicCertificate for Provider-Performed Microscopy Procedures, Community clinic05D0683237
- Mercy Medical Center Mount ShastaCertificate of Accreditation, Hospital05D0618411
- Michael Staszel, DOCertificate of Waiver, Physician office05D2182495
- Pine Street ClinicCertificate of Waiver, Community clinic05D2069763
Related
Questions
What is the CLIA number for Shasta Family Care in Mount Shasta?
05D0922830, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Shasta Family Care hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0922830 expire?
The CMS file lists December 5, 2026 as the certificate expiration date; the certificate took effect December 6, 2024.