05D2107193 CLIA NUMBER - CARDIOVASCULAR SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 05D2107193
  • Facility Name: CARDIOVASCULAR SURGICAL CENTER
  • Facility Address: 2415 SONOMA ST
    REDDING, CA
    ZIP 96001
  • Facility Phone: 530 241-1001
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MOHAMED H. KHAN, MD
  • NPI Number: 1083737100
  • Taxonomy: 246X00000X - Specialist/Technologist Cardiovascular

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CLIA Record

Field Name Field Value
CLIA Number 05D2107193
LAB Type Ambulatory Surgery Center
Facility Name CARDIOVASCULAR SURGICAL CENTER
Street 2415 SONOMA ST
City REDDING
State CA
ZIP 96001
Phone 530 241-1001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2024
Certificate Expiration Date 1/6/2026
Facility Type Ambulatory Surgery Center
Lab Director MOHAMED H. KHAN, MD

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