05D2105187 CLIA NUMBER - NVDS-CIRRUS HOUSE

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Field Name	Field Value
CLIA Number	05D2105187
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	NVDS-CIRRUS HOUSE
Street	1974 CIRRUS ST
City	REDDING
State	CA
ZIP	96002
Phone	530 222-5633
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	11/19/2023
Certificate Expiration Date	11/18/2025
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	MELISSA TASISTA

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