05D2116036 CLIA NUMBER - DIGNITY HEALTH MEDICAL FOUNDATION

Laboratory Demographics

  • CLIA Code: 05D2116036
  • Facility Name: DIGNITY HEALTH MEDICAL FOUNDATION
  • Facility Address: 2780 EUREKA WAY
    REDDING, CA
    ZIP 96001
  • Facility Phone: 916 851-2462
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEEPAK KHOSLA
  • NPI Number: 1659499135
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2116036
LAB Type Physician Office
Facility Name DIGNITY HEALTH MEDICAL FOUNDATION
Street 2780 EUREKA WAY
City REDDING
State CA
ZIP 96001
Phone 916 851-2462
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Physician Office
Lab Director DEEPAK KHOSLA

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