05D1101603 CLIA NUMBER - ANAV TRIBAL HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 05D1101603
  • Facility Name: ANAV TRIBAL HEALTH CLINIC
  • Facility Address: 9024 SNIKTAW LANE
    FORT JONES, CA
    ZIP 96032
  • Facility Phone: 530 468-4470
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: KYLE A. KNUPPEL
  • NPI Number: 1306062419
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1101603
LAB Type Rural Health Clinic
Facility Name ANAV TRIBAL HEALTH CLINIC
Street 9024 SNIKTAW LANE
City FORT JONES
State CA
ZIP 96032
Phone 530 468-4470
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Rural Health Clinic
Lab Director KYLE A. KNUPPEL

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