05D0618590 CLIA NUMBER - MODOC COUNTY HEALTH DEPT

Laboratory Demographics

  • CLIA Code: 05D0618590
  • Facility Name: MODOC COUNTY HEALTH DEPT
  • Facility Address: 441 NORTH MAIN STREET
    ALTURAS, CA
    ZIP 96101
  • Facility Phone: 530 233-6311
  • Facility Type: Public Health Laboratories
  • Facility Type: Waiver
  • Lab Director: EDWARD P. RICHERT
  • NPI Number: 1871042515
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 05D0618590
LAB Type Public Health Laboratories
Facility Name MODOC COUNTY HEALTH DEPT
Street 441 NORTH MAIN STREET
City ALTURAS
State CA
ZIP 96101
Phone 530 233-6311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2025
Certificate Expiration Date 7/16/2027
Facility Type Public Health Laboratories
Lab Director EDWARD P. RICHERT

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