05D0977764 CLIA NUMBER - NORTH STATE SURGERY DBA COURT STREET SURGERY

Laboratory Demographics

  • CLIA Code: 05D0977764
  • Facility Name: NORTH STATE SURGERY DBA COURT STREET SURGERY
  • Facility Address: 2184 COURT STREET
    REDDING, CA
    ZIP 96001
  • Facility Phone: 530 246-4444
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: AARON G. OSBORNE
  • NPI Number: 1629249172
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0977764
LAB Type Ambulatory Surgery Center
Facility Name NORTH STATE SURGERY DBA COURT STREET SURGERY
Street 2184 COURT STREET
City REDDING
State CA
ZIP 96001
Phone 530 246-4444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Ambulatory Surgery Center
Lab Director AARON G. OSBORNE

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