05D0914600 CLIA NUMBER - GREENVILLE RANCHERIA TRIBAL HEALTH PROGRAM

Laboratory Demographics

  • CLIA Code: 05D0914600
  • Facility Name: GREENVILLE RANCHERIA TRIBAL HEALTH PROGRAM
  • Facility Address: 1425 MONTGOMERY ROAD
    RED BLUFF, CA
    ZIP 96080
  • Facility Phone: 530 528-8600
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DR. EVELYN M. BOYLE
  • NPI Number: 1194340794
  • Taxonomy: 261QC1500X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0914600
LAB Type Rural Health Clinic
Facility Name GREENVILLE RANCHERIA TRIBAL HEALTH PROGRAM
Street 1425 MONTGOMERY ROAD
City RED BLUFF
State CA
ZIP 96080
Phone 530 528-8600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2025
Certificate Expiration Date 7/31/2027
Facility Type Rural Health Clinic
Lab Director DR. EVELYN M. BOYLE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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