05D1058154 CLIA NUMBER - REDDING PEDIATRICS INC

Laboratory Demographics

  • CLIA Code: 05D1058154
  • Facility Name: REDDING PEDIATRICS INC
  • Facility Address: 1850 ROSALINE AVE
    REDDING, CA
    ZIP 96001
  • Facility Phone: 530 244-6534
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAILEEN C. LAGOC, MD
  • NPI Number: 1720415011
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1058154
LAB Type Physician Office
Facility Name REDDING PEDIATRICS INC
Street 1850 ROSALINE AVE
City REDDING
State CA
ZIP 96001
Phone 530 244-6534
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Physician Office
Lab Director RAILEEN C. LAGOC, MD

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