05D0890163 CLIA NUMBER - COPPER RIDGE CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0890163
  • Facility Name: COPPER RIDGE CARE CENTER
  • Facility Address: 201 HARTNELL AVE
    REDDING, CA
    ZIP 96002
  • Facility Phone: 530 222-2273
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DINESH MANTRI
  • NPI Number: 1952465791
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0890163
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COPPER RIDGE CARE CENTER
Street 201 HARTNELL AVE
City REDDING
State CA
ZIP 96002
Phone 530 222-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DINESH MANTRI

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