05D0953717 CLIA NUMBER - SCOTT VALLEY RURAL HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 05D0953717
  • Facility Name: SCOTT VALLEY RURAL HEALTH CLINIC
  • Facility Address: 444 BRUCE STREET
    YREKA, CA
    ZIP 96097
  • Facility Phone: 530 841-6287
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DR. CATHERINE M. NICKA
  • NPI Number: 1558442681
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D0953717
LAB Type Rural Health Clinic
Facility Name SCOTT VALLEY RURAL HEALTH CLINIC
Street 444 BRUCE STREET
City YREKA
State CA
ZIP 96097
Phone 530 841-6287
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2023
Certificate Expiration Date 10/23/2025
Facility Type Rural Health Clinic
Lab Director DR. CATHERINE M. NICKA

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