05D1080395 CLIA NUMBER - SAMUEL D VAN KIRK MD

Laboratory Demographics

  • CLIA Code: 05D1080395
  • Facility Name: SAMUEL D VAN KIRK MD
  • Facility Address: 2139 AIRPARK DRIVE
    REDDING, CA
    ZIP 96001
  • Facility Phone: 530 247-0270
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SAMUEL D. VAN KIRK MD
  • NPI Number: 1417052226
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D1080395
LAB Type Physician Office
Facility Name SAMUEL D VAN KIRK MD
Street 2139 AIRPARK DRIVE
City REDDING
State CA
ZIP 96001
Phone 530 247-0270
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/21/2024
Certificate Expiration Date 2/20/2026
Facility Type Physician Office
Lab Director SAMUEL D. VAN KIRK MD

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