05D0939777 CLIA NUMBER - REDDING DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 05D0939777
  • Facility Name: REDDING DIALYSIS CENTER
  • Facility Address: 1876 PARK MARINA DRIVE
    REDDING, CA
    ZIP 96001
  • Facility Phone: 530 246-7474
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SRIRAM G. SAMBASIVAN
  • NPI Number: 1740243831
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0939777
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name REDDING DIALYSIS CENTER
Street 1876 PARK MARINA DRIVE
City REDDING
State CA
ZIP 96001
Phone 530 246-7474
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SRIRAM G. SAMBASIVAN

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