05D0714757 CLIA NUMBER - SISKIYOU COUNTY PUBLIC HEALTH DEPT

Laboratory Demographics

  • CLIA Code: 05D0714757
  • Facility Name: SISKIYOU COUNTY PUBLIC HEALTH DEPT
  • Facility Address: 810 S MAIN ST
    YREKA, CA
    ZIP 96097
  • Facility Phone: 530 841-2124
  • Facility Type: Other - PUBLIC HEALTH DEPARTMENT
  • Facility Type: Microscopy
  • Lab Director: DR. AARON STUTZ MD
  • NPI Number: 1336330646
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0714757
LAB Type Other - PUBLIC HEALTH DEPARTMENT
Facility Name SISKIYOU COUNTY PUBLIC HEALTH DEPT
Street 810 S MAIN ST
City YREKA
State CA
ZIP 96097
Phone 530 841-2124
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 8/16/2024
Certificate Expiration Date 8/15/2026
Facility Type Other - PUBLIC HEALTH DEPARTMENT
Lab Director DR. AARON STUTZ MD

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