05D2034262 CLIA NUMBER - ROLLING HILLS CLINIC

Laboratory Demographics

  • CLIA Code: 05D2034262
  • Facility Name: ROLLING HILLS CLINIC
  • Facility Address: 2540 SISTER MARY COLUMBA DRIVE
    RED BLUFF, CA
    ZIP 96080
  • Facility Phone: 530 690-2827
  • Facility Type: Other - TRIBAL MED/DENTAL CLINIC
  • Facility Type: Microscopy
  • Lab Director: BRIAN J. LAIR, DO
  • NPI Number: 1992012306
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2034262
LAB Type Other - TRIBAL MED/DENTAL CLINIC
Facility Name ROLLING HILLS CLINIC
Street 2540 SISTER MARY COLUMBA DRIVE
City RED BLUFF
State CA
ZIP 96080
Phone 530 690-2827
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 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type Other - TRIBAL MED/DENTAL CLINIC
Lab Director BRIAN J. LAIR, DO

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