05D0713527 CLIA NUMBER - REDDING RANCHERIA TRINITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D0713527
  • Facility Name: REDDING RANCHERIA TRINITY HEALTH CENTER
  • Facility Address: 81 ARBUCKLE COURT
    WEAVERVILLE, CA
    ZIP 96093
  • Facility Phone: 530 226-1717
  • Facility Type: Other - TRIBAL GOVERNMENT
  • Facility Type: Microscopy
  • Lab Director: PAUL R. DAVIS
  • NPI Number: 1497907455
  • Taxonomy: 2085R0001X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 05D0713527
LAB Type Other - TRIBAL GOVERNMENT
Facility Name REDDING RANCHERIA TRINITY HEALTH CENTER
Street 81 ARBUCKLE COURT
City WEAVERVILLE
State CA
ZIP 96093
Phone 530 226-1717
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Other - TRIBAL GOVERNMENT
Lab Director PAUL R. DAVIS

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This page was last updated on: 6/4/2025