05D2056671 CLIA NUMBER - DIGNITY HEALTH MEDICAL FOUNDATION

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Laboratory Demographics

CLIA Number: 05D2056671

Facility Name: DIGNITY HEALTH MEDICAL FOUNDATION

Facility Address:
2528 SISTER MARY COLUMBA DR
RED BLUFF, CA
ZIP 96080
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Facility Phone Number: (916) 379-2861

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

NPI Number: 1235672403

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2056671
LAB Type	PHYSICIAN OFFICE
Facility Name	DIGNITY HEALTH MEDICAL FOUNDATION
Street	2528 SISTER MARY COLUMBA DR
City	RED BLUFF
State	CA
ZIP	96080
Phone	(916) 379-2861

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This page was last updated on: 5/11/2023