05D0673664 CLIA NUMBER - REDWOOD MEDICAL OFFICES

Laboratory Demographics

  • CLIA Code: 05D0673664
  • Facility Name: REDWOOD MEDICAL OFFICES
  • Facility Address: 1240 MARSHALL ST
    CRESCENT CITY, CA
    ZIP 95531
  • Facility Phone: 707 465-5566
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN CALDWELL
  • NPI Number: 1023181971
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0673664
LAB Type Physician Office
Facility Name REDWOOD MEDICAL OFFICES
Street 1240 MARSHALL ST
City CRESCENT CITY
State CA
ZIP 95531
Phone 707 465-5566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Physician Office
Lab Director KEVIN CALDWELL

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